Individual
REGINA PETILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16244 S MILITARY TRL STE 110, DELRAY BEACH, FL 33484-6505
(561) 865-2550
(561) 865-2558
Mailing address
16244 S MILITARY TRL STE 110, DELRAY BEACH, FL 33484-6505
(561) 865-2550
(561) 865-2558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5439
FL
Other
Enumeration date
05/30/2016
Last updated
05/30/2016
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