Individual
ANNA MARIE REAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC-A
Contact information
Practice address
163 STRATFORD CT STE 170, WINSTON SALEM, NC 27103-1833
(336) 831-4051
Mailing address
1334 W FRIENDLY AVE, GREENSBORO, NC 27403-1825
(336) 244-4413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17855
NC
101YP2500X
Professional Counselor
A17855
NC
Other
Enumeration date
08/16/2022
Last updated
03/17/2023
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