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Individual
MR. GARY MICHAEL REAVES
Active
Individual
MR. GARY MICHAEL REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW28704
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP#
CA
01
—
ZZZ92069Z
SANTA CRUZ COUNTY MEDICARE GROUP#
CA
Enumeration date
06/25/2007
Last updated
07/16/2019
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