Individual
ANN KELLETT REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, LPC, CADC-1
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(971) 413-8065
Mailing address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(971) 413-8065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC 1- 10-06-34
OR
101YM0800X
Mental Health Counselor
Primary
C2515
OR
Other
Enumeration date
10/23/2007
Last updated
12/28/2021
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