Individual provider · Type 1 NPI

Regina Raybourn, MS, LIAC

Addiction (Substance Use Disorder) Counselor · Mesa, AZ

NPI number 1144119884 Active

Practice location

1921 S Alma School Rd Ste 312
Mesa, AZ 85210-3039

Mailing address

4114 W Woodridge Dr
Glendale, AZ 85308-4016

Other practice locations

  • 8712 E Via De Commercio, Scottsdale, AZ 85258-3362 · (480) 933-1626

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X155380 (AZ)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1144119884

Regina Raybourn, MS, LIAC's National Provider Identifier is 1144119884, issued on Jun 30, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mesa, AZ. The record was last updated on Jun 30, 2025.