| Doctor Name: | MRS. MARY ALISON REITANO |
| NPI Number: | 1295159549 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., LPCA, LMFTA |
| License Number: | 9002A |
| Business Practice Address: | 115 Southport Rd Ste J Spartanburg, SC - 293063814 |
| Business Phone Number: | 7048582926 |
| Business Fax Number: | |
| Mailing Address: | 404 Olmsted Park Pl, CHARLOTTE |
| State: | NC |
| Postal Code: | 282035680 |
| Phone Number: | 7045743113 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2014 |
| NPI Last Update Date: | 02/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 9002A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |