Individual
REGINA L LARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
3301 SOUTHERN BLVD SE STE 105, RIO RANCHO, NM 87124-5859
(505) 357-8099
Mailing address
3301 SOUTHERN BLVD SE STE 105, RIO RANCHO, NM 87124-5859
(505) 357-8099
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2023-0037
NM
Other
Enumeration date
12/11/2012
Last updated
11/15/2023
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