Individual
STEPHANIE MAE REAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 WASHINGTON AVE S, KENT, WA 98032-5709
(253) 833-7444
Mailing address
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60917691
WA
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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