Individual
MRS. REGINA RAYBOURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LIAC
Contact information
Practice address
1921 S ALMA SCHOOL RD STE 312, MESA, AZ 85210-3039
(480) 687-2334
Mailing address
4114 W WOODRIDGE DR, GLENDALE, AZ 85308-4016
(606) 465-3166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
155380
AZ
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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