Individual
REGINA JANE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
1825 FAULKLAND RD, WILMINGTON, DE 19805-1121
(302) 633-2572
Mailing address
5 RICHARD RD, NEW CASTLE, DE 19720-1729
(302) 983-6173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC0000794
DE
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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