Doctor Name: | LACONYA L REED |
NPI Number: | 1134527625 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC, LPC, CAC-AD |
License Number: | AC1500 |
Business Practice Address: | 13112 Brussels Way Upper Marlboro, MD - 207726114 |
Business Phone Number: | 2403894685 |
Business Fax Number: | |
Mailing Address: | Po Box 402, UPPER MARLBORO |
State: | MD |
Postal Code: | 207730402 |
Phone Number: | 2403894685 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2014 |
NPI Last Update Date: | 03/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | AC1500 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |