Provider Demographics
NPI:1457713885
Name:ARMAJO, REGINA G X (CERTIFIED ADDICTIONS)
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:G
Last Name:ARMAJO
Suffix:X
Gender:F
Credentials:CERTIFIED ADDICTIONS
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:G
Other - Last Name:ANTELOPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CERTIFIED ADDICTIONS
Mailing Address - Street 1:PO BOX 638
Mailing Address - Street 2:
Mailing Address - City:FORT WASHAKIE
Mailing Address - State:WY
Mailing Address - Zip Code:82514-9900
Mailing Address - Country:US
Mailing Address - Phone:307-335-1169
Mailing Address - Fax:307-335-1170
Practice Address - Street 1:7 SHIPTON LANE
Practice Address - Street 2:
Practice Address - City:FORT WASHAKIE
Practice Address - State:WY
Practice Address - Zip Code:82514
Practice Address - Country:US
Practice Address - Phone:307-335-1169
Practice Address - Fax:307-335-1170
Is Sole Proprietor?:No
Enumeration Date:2016-03-24
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYC.A.P. 033101YA0400X
WYCAP-033101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)