Healthcare Provider Details

I. General information

NPI: 1649694464
Provider Name (Legal Business Name): JULIA REEDER MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2014
Last Update Date: 02/22/2020
Certification Date: 02/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 BRYANT ST STE 500
DENVER CO
80211-4153
US

IV. Provider business mailing address

2727 BRYANT ST STE 500
DENVER CO
80211-4153
US

V. Phone/Fax

Practice location:
  • Phone: 719-581-9688
  • Fax:
Mailing address:
  • Phone: 719-581-9688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0014211
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: