Provider Demographics
NPI:1326215294
Name:GARNER, REGINA MAE (MED, NBCC, LPC)
Entity Type:Individual
Prefix:MS
First Name:REGINA
Middle Name:MAE
Last Name:GARNER
Suffix:
Gender:F
Credentials:MED, NBCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 OAK HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-4505
Mailing Address - Country:US
Mailing Address - Phone:972-658-7401
Mailing Address - Fax:
Practice Address - Street 1:321 N CENTRAL EXPY STE 302
Practice Address - Street 2:FIRST BANK & TRUST BLDG
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3521
Practice Address - Country:US
Practice Address - Phone:972-548-2212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20181101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional