Earnest Russell Reaves, LCPC

NPI #1164936738 in Edgewood, Maryland

Provider Information

NPI Number
1164936738
Entity Type
Individual
Name
Earnest Russell Reaves, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
Nov 18, 2017
Last Updated
Nov 18, 2017

Practice Location

Address
3109 EBBTIDE DR
ZIP Code
21040-2920
Phone
(443) 691-4982

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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