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NPI Code Detail

MEDICARE: MARIA JANET REYES M.S.

MEDICARE: MARIA JANET REYES M.S.
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

General Provider Information

NPI Number : 1952840878
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA JANET REYES M.S.
Provider Business Mailing Address
First Line : 6134 N 10TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19141-3812
Country : US
Telephone Number : 267-265-7019
Fax Number :
Provider Business Practice Location Address
First Line : 1010 N HANCOCK ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19123-2334
Country : US
Telephone Number : 267-265-7019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2017
Last Update Date : 02/13/2017

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