MEDICARE: MARILYN REESE COUNSELOR PLLC

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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1760214258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARILYN REESE COUNSELOR PLLC

Provider Business Mailing Address
First Line	:	6165 LEHMAN DR STE 203-6
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-3441
Country	:	US
Telephone Number	:	--
Fax Number	:	--

Provider Business Practice Location Address
First Line	:	6165 LEHMAN DR STE 203-6
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-3441
Country	:	US
Telephone Number	:	--
Fax Number	:	--

Authorized Official
Title or Position	:	OWNER
Name	:	MARILYN REESE
Credential	:	LPC
Telephone Number	:	--

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	01/26/2026

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