Provider Demographics
NPI:1942486782
Name:MCGINNIS, REGINA N (MA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:N
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:MS
Other - First Name:REGINA
Other - Middle Name:N
Other - Last Name:BEAULAURIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2719 E MADISON ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4752
Mailing Address - Country:US
Mailing Address - Phone:206-302-2600
Mailing Address - Fax:206-302-2610
Practice Address - Street 1:2719 E MADISON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4752
Practice Address - Country:US
Practice Address - Phone:206-302-2600
Practice Address - Fax:206-302-2610
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-10
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60172396101YM0800X
WALH60172396101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor