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NPI Code Detail

MEDICARE: KARLEE RAE REEVE LICDC

MEDICARE: KARLEE RAE REEVE LICDC
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 Counselor6401011973MI
2101YA0400XAddiction (Substance Use Disorder) CounselorLICDC.162162OH

General Provider Information

NPI Number : 1225341399
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLEE RAE REEVE LICDC
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number : 513-873-1269
Fax Number : 866-460-2997
Provider Business Practice Location Address
First Line : 201 N YELLOW SPRINGS ST
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45504-2650
Country : US
Telephone Number : 833-510-4357
Fax Number : 866-460-2997
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2010
Last Update Date : 10/14/2024

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Directions to “ KARLEE RAE REEVE LICDC” Practice Location

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