Individual
MICHELE R REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 PINECREST RD # 2, JERSEY CITY, NJ 07305-1223
(201) 737-1206
Mailing address
2 PINECREST RD # 2, JERSEY CITY, NJ 07305-1223
(201) 737-1206
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00271800
NJ
101YP2500X
Professional Counselor
PC010290
PA
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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