Individual
REGINA WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
10611 FL-20, BRISTOL, FL 32321
(229) 230-3306
Mailing address
633 ARBOR STATION LN APT 58, TALLAHASSEE, FL 32312-2220
(229) 230-3306
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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