Individual
JACK EDWARD REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4009 BANISTER LN # 369, AUSTIN, TX 78704-6853
(512) 450-0451
Mailing address
PO BOX 91025, AUSTIN, TX 78709-1025
(512) 450-0451
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AAC 1128-0080
TX
101YM0800X
Mental Health Counselor
Primary
LPC 16662
TX
Other
Enumeration date
12/13/2006
Last updated
02/13/2012
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