Regina Charles, LAC
NPI #1184173452 in Fair Lawn, New Jersey
Provider Information
- NPI Number
- 1184173452
- Entity Type
- Individual
- Name
- Regina Charles, LAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LAC
- Enumeration Date
- Sep 28, 2016
- Last Updated
- Nov 7, 2016
Practice Location
- Address
- 17-07 ROMAINE ST
- City
- Fair Lawn
- State
- New Jersey
- ZIP Code
- 07410-2150
- Phone
- (201) 797-2660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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