Individual
CHARITY REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2524 FIRST AVE, KETCHIKAN, AK 99901-5804
(907) 202-8752
Mailing address
PO BOX 7475, KETCHIKAN, AK 99901-2475
(425) 737-5076
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1703638
—
AK
05
—
1713721
—
AK
Enumeration date
10/24/2022
Last updated
10/24/2022
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