Individual
MICHAEL EUGENE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-2103
(253) 968-2252
Mailing address
19533 MALLORY CANYON RD, SALINAS, CA 93907-1230
(831) 241-3790
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW107982
CA
Other
Enumeration date
08/08/2017
Last updated
12/11/2023
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