Individual
JACQUELINE YVETTE REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 WALNUT GROVE RD STE 4, MEMPHIS, TN 38111-2719
(901) 209-9792
Mailing address
2639 CENTRAL AVE APT T1, MEMPHIS, TN 38104-5953
(901) 438-3900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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