Individual
REGENIA K HOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
825 CUTTING HORSE DR, MANSFIELD, TX 76063-2469
(512) 466-1906
Mailing address
825 CUTTING HORSE DR, MANSFIELD, TX 76063-2469
(512) 466-1906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8461
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148686201
—
TX
Enumeration date
10/31/2011
Last updated
04/11/2017
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