Individual
CHAMECCA R REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 S MAIN ST, LINDALE, TX 75771-6266
(903) 201-7750
Mailing address
9182 SHADOW OAK DR, TYLER, TX 75707-3200
(214) 916-8283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
89632
TX
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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