Individual provider · Type 1 NPI

Randolf Regan Sr., CAC-AD

Addiction (Substance Use Disorder) Counselor · Baltimore, MD

NPI number 1962537100 Active

Practice location

9100 Franklin Square Dr, Eatp
Baltimore, MD 21237-3903

Fax (410) 687-6005

Mailing address

23 N Bernice Ave
Baltimore, MD 21229-3712

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAC0043 (MD)

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

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About NPI 1962537100

Randolf Regan Sr., CAC-AD's National Provider Identifier is 1962537100, issued on Feb 21, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baltimore, MD. The record was last updated on Jul 8, 2007.