SARA REGAN RADT 1 NPI 1912503806

NPI Information

NPI: 1912503806
Provider Name: SARA REGAN, RADT 1
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1477 LINCOLN AVE
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 459-2395
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Sara Regan, RADT 1 is an addiction (substance use disorder) counselor in San Rafael, CA. Sara Regan, RADT 1 NPI is 1912503806. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1477 LINCOLN AVE
SAN RAFAEL, CA
ZIP 94901-028
Phone: (415) 459-2395

The enumeration date for this NPI number is 12/7/2020 and was last updated on 12/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility		R1409961120	CALIFORNIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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