Individual
REGINA CAROLYN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
6548 TOWN CENTER DR STE D, CLARKSTON, MI 48346-4823
(248) 453-7525
Mailing address
31810 N MARKLAWN ST, FARMINGTON HILLS, MI 48334-2856
(248) 210-7331
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401006836
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000260F7
HAP
MI
01
—
019027
MIDWEST MEDICAID
MI
01
—
750910932
BCCHRY
MI
01
—
XX19153
HEALTHPLUS
MI
Enumeration date
01/13/2007
Last updated
08/05/2022
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