Individual
MARLENE ANN REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. LPC, NCC, SAS
Contact information
Practice address
1537 PARK PL STE 600, GREEN BAY, WI 54304-1987
(920) 544-5294
Mailing address
7190 SPRING LAKE RD, SOBIESKI, WI 54171-8600
(920) 366-9734
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
491-125
WI
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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