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Regina Raye Medart, LPC
Professional Counselor in Austin, Texas
NPI 1710067897

Regina Raye Medart is a Professional Counselor based in Austin, TX and is specialized in Professional. Regina Raye Medart practices in Austin, TX and has the professional credentials of LPC. The NPI Number for Regina Raye Medart is 1710067897 and holds a License No. (Texas).

The current practice location address for Regina Raye Medart is 1433 Fairfield Dr, Austin, TX and can be reached out via phone at 512-491-8444 and via fax at 512-491-0226. You can also correspond with Regina Raye Medart through the mailing address at 1433 FAIRFIELD DR, AUSTIN, TX - 78758-7244 (mailing address contact number: 512-491-8444).

Location: 1433 Fairfield Dr, Austin, TX, 78758-7244
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Provider Profile Details
NPI Number
1710067897
Provider Name
Regina Raye Medart
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1433 Fairfield Dr, Austin, TX, 78758-7244
Phone Number
512-491-8444
Fax Number
512-491-0226
Provider Enumeration Date
10/16/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
169925802 05 TX
institution
Provider Business Practice Location Address Details
Address
1433 Fairfield Dr
City
State
Zip
78758-7244
Phone Number
512-491-8444
Fax Number
512-491-0226
person
Provider Business Mailing Address Details
Address
1433 Fairfield Dr
City
State
Zip
78758-7244
Phone Number
512-491-8444
Fax Number
512-491-0226
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Texas)
Definition
Definition to come...
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