Regan, Connie

Regan, Connie is an individual health care provider with primary practice located at 4100 Mamie St , Hattiesburg MS 39402-1735. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Regan, Connie can be contacted via phone (601) 705-1901.

Contact Information

Primary practice address
4100 Mamie St Hattiesburg MS 39402-1735
Phone: (601) 705-1901
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X C1017 Mississippi
Behavioral Health & Social Service Providers / Social Worker 104100000X C1017 Mississippi

Profile Details

NPI number 1538391123
LBN Legal business name Regan, Connie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2009
Last updated Dec 4th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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