Individual provider · Type 1 NPI
Regina Hartley, RAC
Addiction (Substance Use Disorder) Counselor · Haughton, LA
NPI number
1265803548
Active
Practice location
416 Wildoak Dr
Haughton, LA 71037-7927
Mailing address
725 Jordan St
Shreveport, LA 71101-4615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1510 (LA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1265803548
Regina Hartley, RAC's National Provider Identifier is 1265803548, issued on Oct 13, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Haughton, LA. The record was last updated on Oct 13, 2015.