person
Regina Gorman, MASTERDEGREE
Addiction (Substance Use Disorder) Counselor in Chinle, Arizona
NPI 1376195024

Regina Gorman is an Addiction (Substance Use Disorder) Counselor based in Chinle, AZ and is specialized in Addiction (Substance Use Disorder). Regina Gorman practices in Chinle, AZ and has the professional credentials of MASTERDEGREE. The NPI Number for Regina Gorman is 1376195024 and holds a License No. LASAC-15475 (Arizona).

The current practice location address for Regina Gorman is Off Highway 191, Phs/Ihs Drive, Chinle, AZ and can be reached out via phone at 928-674-7378 and via fax at 928-674-7600.

Location: Off Highway 191, Phs/Ihs Drive, Chinle, AZ, 86503
person
Provider Profile Details
NPI Number
1376195024
Provider Name
Regina Gorman
Credential
MASTERDEGREE
Provider Entity Type
Individual
Gender
Female
Address
Off Highway 191, Phs/Ihs Drive, Chinle, AZ, 86503
Phone Number
928-674-7378
Fax Number
928-674-7600
Provider Enumeration Date
07/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Off Highway 191, Phs/Ihs Drive
City
State
Zip
86503
Phone Number
928-674-7378
Fax Number
928-674-7600
person
Provider Business Mailing Address Details
Address
Off Highway 191, Phs/Ihs Drive
City
State
Zip
86503
Phone Number
928-674-7378
Fax Number
928-674-7600
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LASAC-15475 (Arizona)
Definition
Definition to come...
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