Regina Gorman, MASTERDEGREE
Regina Gorman, MASTERDEGREE is an Addiction (Substance Use Disorder) Counselor in Chinle, Arizona. Licensed in Arizona. Registered with an NPI since 2019.
- Licensed in
- AZ
- In the registry since
- 2019
Practice location Address checks out
Off Highway 191 Phs/ihs Drive Po Drawer PhChinle, AZ 86503
Phone: (928) 674-7378
Fax: (928) 674-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence LASAC-15475 (AZ) |
|---|
Record details
| NPI number | 1376195024 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MASTERDEGREE |
| Sole proprietor | No |
| NPI enumerated | July 12, 2019 |
| Last updated in NPPES | April 19, 2023 |
| Certification date | April 19, 2023 |
| Mailing address | Po Drawer Ph, Off Highway 191, Phs/Ihs Drive, Chinle, AZ 86503 |
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Mr. Harry D. Tsosie, LISAC
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