Individual
MOLLY MARIE REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
7400 W 109TH ST, BLOOMINGTON, MN 55438-2374
(612) 223-8898
Mailing address
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426-1626
(612) 223-8898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
4670
MN
Other
Enumeration date
08/24/2022
Last updated
11/06/2024
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