Doctor Name: | MS. KIRSTI JANE REEVE |
NPI Number: | 1962739565 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 6401011612 |
Business Practice Address: | 1370 N Oakland Blvd Suite 105 Waterford, MI - 483274525 |
Business Phone Number: | 2486668870 |
Business Fax Number: | 2486665023 |
Mailing Address: | 3822 Elmhurst Ave, ROYAL OAK |
State: | MI |
Postal Code: | 480731823 |
Phone Number: | 2485499125 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2009 |
NPI Last Update Date: | 05/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401011612 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |