Individual
MRS. REGENIA HAMPTON PROSKINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
217 E PLYMOUTH AVE, DELAND, FL 32724-2881
(386) 804-9860
Mailing address
765 TEDDER LAKE RD, DE LEON SPRINGS, FL 32130-3645
(386) 804-9860
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1434
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z4515
BLUE CROSS
FL
Enumeration date
05/23/2007
Last updated
09/01/2010
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