Individual
JILL E REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
305 NORTH ST, MIDDLETOWN, NY 10940-4704
(845) 344-4244
Mailing address
305 NORTH ST, MIDDLETOWN, NY 10940-4704
(845) 344-4244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30973
NY
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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