Healthcare Provider Details

I. General information

NPI: 1952524738
Provider Name (Legal Business Name): TODD WILLIAM REED LPCC, ICDC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1269 COLFAX AVE
KETTERING OH
45419-2103
US

IV. Provider business mailing address

1269 COLFAX AVE
KETTERING OH
45419-2103
US

V. Phone/Fax

Practice location:
  • Phone: 937-299-4804
  • Fax: 937-299-4804
Mailing address:
  • Phone: 937-299-4804
  • Fax: 937-299-4804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number943978
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0002437
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: