person
Mr. Randolf Regan SR., CAC-AD
Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland
NPI 1962537100

Randolf Regan SR. is an Addiction (Substance Use Disorder) Counselor based in Baltimore, MD and is specialized in Addiction (Substance Use Disorder). Randolf Regan SR. practices in Baltimore, MD and has the professional credentials of CAC-AD. The NPI Number for Randolf Regan SR. is 1962537100 and holds a License No. AC0043 (Maryland).

The current practice location address for Randolf Regan SR. is 9100 Franklin Square Dr, Baltimore, MD and can be reached out via phone at 410-887-6465 and via fax at 410-687-6005.

Location: 9100 Franklin Square Dr, Baltimore, MD, 21229-3712
person
Provider Profile Details
NPI Number
1962537100
Provider Name
Randolf Regan SR.
Credential
CAC-AD
Provider Entity Type
Individual
Gender
Male
Address
9100 Franklin Square Dr, Baltimore, MD, 21229-3712
Phone Number
410-887-6465
Fax Number
410-687-6005
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9100 Franklin Square Dr
City
State
Zip
21237-3903
Phone Number
410-887-6465
Fax Number
410-687-6005
person
Provider Business Mailing Address Details
Address
9100 Franklin Square Dr
City
State
Zip
21237-3903
Phone Number
410-887-6465
Fax Number
410-687-6005
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
AC0043 (Maryland)
Definition
Definition to come...
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