Individual
MRS. SHANEETA D REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
8638 VETERANS HWY STE 301, MILLERSVILLE, MD 21108-1422
(410) 740-8066
Mailing address
10630 LITTLE PATUXENT PKWY STE 209, COLUMBIA, MD 21044-6278
(410) 740-8066
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC9305
MD
101YP2500X
Professional Counselor
LGP7646
MD
Other
Enumeration date
11/28/2018
Last updated
01/22/2020
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