Individual
REGAN WHITESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. ED.
Contact information
Practice address
16 S BROADWAY, SUITE 2, WIND GAP, PA 18091-1431
(610) 863-8151
Mailing address
16 S BROADWAY, SUITE 2, WIND GAP, PA 18091-1431
(610) 863-8151
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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