Individual
MR. MATTHEW C REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, MS, LADC II
Contact information
Practice address
30 WINTER STREET, BOSTON, MA 02108
(617) 482-5292
Mailing address
30 WINTER STREET, BOSTON, MA 02108
(617) 482-5292
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1163
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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