Doctor Name: | MR. MARC ALAN REEDER |
NPI Number: | 1013041441 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, LPC |
License Number: | 1838 |
Business Practice Address: | 5984 S Prince St #101 Littleton, CO - 801202083 |
Business Phone Number: | 3037381021 |
Business Fax Number: | |
Mailing Address: | 4495 Newton St, DENVER |
State: | CO |
Postal Code: | 802111351 |
Phone Number: | 3034585165 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1838 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |