Individual
REGINA HILDENBRAND-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, EDS, M.ED, LMHC
Contact information
Practice address
308 MEDIC WAY, GREENCASTLE, IN 46135-2296
(765) 653-2669
(765) 653-8671
Mailing address
235 E INDIANA AVE, BLOOMFIELD, IN 47424-1046
(812) 320-5174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001989A
IN
Other
Enumeration date
09/20/2012
Last updated
06/23/2015
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