Individual
ANGEL REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, IMH-E
Contact information
Practice address
210 S 5TH ST, COTTAGE GROVE, OR 97424-2105
(541) 337-1483
Mailing address
421 E WASHINGTON AVE, COTTAGE GROVE, OR 97424-2060
(541) 337-1483
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1702
OR
Other
Enumeration date
03/17/2016
Last updated
06/01/2022
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