Healthcare Provider Details

I. General information

NPI: 1245185644
Provider Name (Legal Business Name): ALESSIA REGAZZONI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9093 RIDGEFIELD DR STE 206
FREDERICK MD
21701-6712
US

IV. Provider business mailing address

18911 MAPLE VALLEY CIR
HAGERSTOWN MD
21742-2999
US

V. Phone/Fax

Practice location:
  • Phone: 301-281-4963
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: