Doctor Name: | TASCHA REESE |
NPI Number: | 1528145364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 25108 |
Business Practice Address: | 395 Richland Blvd Grand Saline, TX - 751401326 |
Business Phone Number: | 9033726883 |
Business Fax Number: | 9039624759 |
Mailing Address: | 395 Richland Blvd, GRAND SALINE |
State: | TX |
Postal Code: | 751401326 |
Phone Number: | 9033726883 |
Fax Number: | 9039624759 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 03/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 25108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |