Individual
MARK REGANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5412 BOULDER HWY, UNIT D, LAS VEGAS, NV 89122-6039
(702) 324-5506
Mailing address
1481 PALM ST, #118, LAS VEGAS, NV 89104-4742
(702) 324-5506
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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