Individual
AMANDA REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, CASAC, NCC
Contact information
Practice address
722 WEILAND RD, SUITE 200, ROCHESTER, NY 14626-3957
(585) 420-7280
Mailing address
722 WEILAND RD, SUITE 200, ROCHESTER, NY 14626-3957
(585) 420-7280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22332
NY
101YM0800X
Mental Health Counselor
Primary
6597-1
NY
Other
Enumeration date
01/02/2016
Last updated
01/02/2016
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