Individual
REGINA MOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 TIDEWATER LN, CLINTON, CT 06413-2726
(860) 271-6716
Mailing address
16 TIDEWATER LN, CLINTON, CT 06413-2726
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000787
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC3898
ME
Other
Enumeration date
03/29/2012
Last updated
09/09/2025
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