# MR. STEVEN EDWIN REENAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1922052091
- **Gender:** Man
- **Credential:** LPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | CS 001374 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2012004610 | MO | Yes |

## Other

- **Enumeration date:** 05/21/2006
- **Last updated:** 05/29/2012
