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NPI Code Detail

MEDICARE: VICTORIA KAITLYN REAP

MEDICARE:   VICTORIA KAITLYN REAP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YP2500XProfessional CounselorP2507004AR

General Provider Information

NPI Number : 1104591221
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA KAITLYN REAP
Provider Business Mailing Address
First Line : 10311 W MARKHAM ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-2135
Country : US
Telephone Number : 501-781-2230
Fax Number :
Provider Business Practice Location Address
First Line : 10311 W MARKHAM ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-2135
Country : US
Telephone Number : 501-781-2230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2021
Last Update Date : 07/10/2025

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Directions to “ VICTORIA KAITLYN REAP ” Practice Location

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