MEDICARE: RELAND LUISA FINCH LPC

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	101YM0800X	Mental Health Counselor	0701008658	VA

General Provider Information

NPI Number	:	1871105627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RELAND LUISA FINCH LPC

Provider Business Mailing Address
First Line	:	801 PENNSYLVANIA AVE SE STE 201
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20003-2152
Country	:	US
Telephone Number	:	202-630-2695
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 MARTIN LUTHER KING JR AVE SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5702
Country	:	US
Telephone Number	:	202-630-2695
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2020
Last Update Date	:	12/04/2024

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