Individual
BLAKE REUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
228 MEADOW ST, WATERBURY, CT 06702-1807
(203) 597-0643
Mailing address
228 MEADOW ST, WATERBURY, CT 06702-1807
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002685
CT
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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