Individual
REGINA GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
901 W GREENWOOD ST STE 5, ABBEVILLE, SC 29620-5678
(864) 993-1640
Mailing address
401 HUNTERS CREEK BLVD, GREENWOOD, SC 29649-8444
(864) 229-5017
(864) 366-8912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5236
FL
101YM0800X
Mental Health Counselor
Primary
LPC
SC
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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