Individual
MR. STEVE REEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4333 BOWSER AVE APT 5, DALLAS, TX 75219-2865
(214) 693-1982
Mailing address
4333 BOWSER AVE APT 5, DALLAS, TX 75219-2865
(214) 693-1982
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
64286
TX
101YM0800X
Mental Health Counselor
64286
TX
101YP2500X
Professional Counselor
64286
TX
Other
Enumeration date
09/09/2010
Last updated
08/29/2012
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