Individual
JESSE JAMES REESE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7950 MARTIN LOOP, FORT BENNING, GA 31905-5647
(706) 545-8365
(706) 545-8364
Mailing address
521 LEE ROAD 2099, PHENIX CITY, AL 36870-8073
(334) 291-8198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001103
GA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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