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MISS REGINA AN
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1487848164
Individual Registrant:MISS REGINA AN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1515 W MISSION RD ALHAMBRA, CA 91803 US
Tel: 626-943-3416 Fax: --
Tel: 626-943-3416 Fax: --
Contact information for business:
1515 W MISSION RD ALHAMBRA, CA 91803-1618 US
Tel: 626-943-3416 Fax: --
Tel: 626-943-3416 Fax: --
Registration Information:
NPI: 1487848164
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CA | LCS26730 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| DMH STAFF CODE | ICAN773 | CA | 01 |
