Individual
MR. REGINALD CHARLES TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLPC, CAADC
Contact information
Practice address
35031 23 MILE RD, NEW BALTIMORE, MI 48047-3649
(586) 725-5777
(586) 725-4099
Mailing address
35031 23 MILE RD, NEW BALTIMORE, MI 48047-3649
(586) 725-5777
(586) 725-4099
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401011111
MI
101YP2500X
Professional Counselor
LPC.0018882
CO
Other
Enumeration date
06/24/2008
Last updated
11/30/2022
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