Mary Kate Regan

NPI #1225687668 in Phoenix, Oregon

Provider Information

NPI Number: 1225687668
Entity Type: Individual
Name: Mary Kate Regan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 9, 2019
Last Updated: Jul 8, 2020

Practice Location

Address: 149 S MAIN ST
City: Phoenix
State: Oregon
ZIP Code: 97535-6631
Phone: (541) 535-4133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Behavior Technician	106S00000X

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