| Doctor Name: | MS. GEORGENE REA |
| NPI Number: | 1013209238 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 4721-C |
| Business Practice Address: | 45 Avenida Arenas Henderson, NV - 890746352 |
| Business Phone Number: | 7028137757 |
| Business Fax Number: | |
| Mailing Address: | Po Box 149, LAS VEGAS |
| State: | NV |
| Postal Code: | 891250149 |
| Phone Number: | 7028137757 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2011 |
| NPI Last Update Date: | 11/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 4721-C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |