| Doctor Name: | REGINA BASOLO |
| NPI Number: | 1285706481 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS LCPC |
| License Number: | 1175 LCPC |
| Business Practice Address: | 129 Village Dr Ste 303 Belgrade, MT - 597143493 |
| Business Phone Number: | 4063881607 |
| Business Fax Number: | 4063884958 |
| Mailing Address: | Po Box 1377, BELGRADE |
| State: | MT |
| Postal Code: | 597141377 |
| Phone Number: | 4063881607 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 06/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1175 LCPC |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |