Basic Information
| Provider Information | |||||||||
| NPI: | 1144628090 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALEGRIA | ||||||||
| FirstName: | REGINA | ||||||||
| MiddleName: | MICHELLE | ||||||||
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| Credential: | B.S., CAC I | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2727 CLAY ST | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802114127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7207956975 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5524 S PRINCE ST | ||||||||
| Address2: | |||||||||
| City: | LITTLETON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801201126 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037799676 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/09/2014 | ||||||||
| LastUpdateDate: | 12/09/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | ACA.0007184 | CO | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.