Individual
CHRISTINA REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12800 E WARREN AVE, DETROIT, MI 48215-2061
(313) 308-1400
Mailing address
12800 E WARREN AVE, DETROIT, MI 48215-2061
(313) 308-1400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R250115630467
—
MI
Enumeration date
01/18/2023
Last updated
01/18/2023
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