Individual
MR. CARL J REGENSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
2301 YALE BLVD SE, ALBUQUERQUE, NM 87106-4228
(505) 247-4622
(505) 247-1373
Mailing address
2701 COCONO DR SW, ALBUQUERQUE, NM 87105-7089
(505) 873-1935
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3676
NM
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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