Individual
DEBORA K REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
1448 DIEDERICH BLVD, RUSSELL, KY 41169
(606) 834-0020
(606) 834-0049
Mailing address
1448 DIEDERICH BLVD, RUSSELL, KY 41169-1719
(606) 834-0020
(606) 834-0049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0754
KY
1041C0700X
Clinical Social Worker
Primary
3645
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000363272
ANTHEM BCBS
—
01
—
11659832
CAQH
—
01
—
1364869
WELLCARE OF KENTUCKY
KY
01
—
2335893
COMPSYCH
—
01
—
292233000
MAGELLAN - MIS
—
01
—
4995354
CIGNA
—
05
—
7100349280
—
KY
01
—
K178741
MEDICARE PTAN
KY
01
—
Y3645
THE HEALTH PLAN (OF WV AND OH)
—
01
—
YA-73697
ANTHEM EAP
—
Enumeration date
06/22/2007
Last updated
08/07/2018
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