Provider Demographics
NPI:1881392280
Name:REGAN, JAMI ELIZABETH (LCMHC-A A18298)
Entity type:Individual
Prefix:
First Name:JAMI
Middle Name:ELIZABETH
Last Name:REGAN
Suffix:
Gender:F
Credentials:LCMHC-A A18298
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 MONMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-1907
Mailing Address - Country:US
Mailing Address - Phone:919-761-3137
Mailing Address - Fax:
Practice Address - Street 1:3329 DURHAM CHAPEL HILL BLVD STE 200E
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6240
Practice Address - Country:US
Practice Address - Phone:919-761-3137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18298101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health