Provider Demographics
NPI:1558082594
Name:BROWNING, REGINA MABEL (MED)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:MABEL
Last Name:BROWNING
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 DINGESS ST
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:WV
Mailing Address - Zip Code:25601-3603
Mailing Address - Country:US
Mailing Address - Phone:304-688-9269
Mailing Address - Fax:681-495-1522
Practice Address - Street 1:101 DINGESS ST
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:WV
Practice Address - Zip Code:25601-3603
Practice Address - Country:US
Practice Address - Phone:304-688-9269
Practice Address - Fax:681-495-1522
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional