Individual
KEITH BRIAN REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, NCC
Contact information
Practice address
4801 S LAKESHORE DR STE 106, TEMPE, AZ 85282-7156
(480) 525-0058
Mailing address
4515 W TYSON ST, CHANDLER, AZ 85226-2902
(480) 262-5005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AZ
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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