Provider Demographics
NPI:1336387513
Name:PEREIRA, REGINA GAIL (LPC)
Entity Type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:GAIL
Last Name:PEREIRA
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Gender:F
Credentials:LPC
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Mailing Address - Street 1:210 E MAIN
Mailing Address - Street 2:RESOURCE MANAGEMENT
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820
Mailing Address - Country:US
Mailing Address - Phone:580-436-7211
Mailing Address - Fax:580-272-5757
Practice Address - Street 1:OUTPATIENT SERVIES PURCELL- 1726 W GREEN AVE
Practice Address - Street 2:STRONG FAMILY DEVELOPMENT
Practice Address - City:PURCELL
Practice Address - State:OK
Practice Address - Zip Code:73080
Practice Address - Country:US
Practice Address - Phone:405-767-8940
Practice Address - Fax:405-767-8949
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2016-11-17
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Provider Licenses
StateLicense IDTaxonomies
OKLPC2595101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional