| Doctor Name: | MRS. SANDRA DUNN REID |
| NPI Number: | 1306011580 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 518 |
| Business Practice Address: | 3936 Tarkle Ridge Dr Kitty Hawk, NC - 279494323 |
| Business Phone Number: | 2522611979 |
| Business Fax Number: | |
| Mailing Address: | 3936 Tarkle Ridge Dr, P.o.box 1565 KITTY HAWK |
| State: | NC |
| Postal Code: | 279494323 |
| Phone Number: | 2522611979 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2008 |
| NPI Last Update Date: | 04/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |