Individual
REGINA MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1000 MAIN ST, PORT JEFFERSON, NY 11777-2250
(631) 296-1113
Mailing address
1000 MAIN ST, PORT JEFFERSON, NY 11777-2250
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002004
NY
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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