| Doctor Name: | REGINA SEWELL |
| NPI Number: | 1396084000 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC, PCC |
| License Number: | 005237-1 |
| Business Practice Address: | 91 Broadway Hopewell Junction, NY - 125335726 |
| Business Phone Number: | 8452642287 |
| Business Fax Number: | 8455922335 |
| Mailing Address: | 91 Broadway, HOPEWELL JUNCTION |
| State: | NY |
| Postal Code: | 125335726 |
| Phone Number: | 8452642287 |
| Fax Number: | 8455922335 |
| NPI Enumeration Date: | 02/01/2013 |
| NPI Last Update Date: | 02/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 005237-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |