Healthcare Provider Details

I. General information

NPI: 1356586473
Provider Name (Legal Business Name): SANDRA LYNNE REEVES REGISTERED COUNSELOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SCRIBER LAKE COUNSELING

II. Dates (important events)

Enumeration Date: 12/03/2008
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10121 EVERGREEN WAY STE 25
EVERETT WA
98204-3880
US

IV. Provider business mailing address

10121 EVERGREEN WAY STE 25 BOX 728
EVERETT WA
98204-3880
US

V. Phone/Fax

Practice location:
  • Phone: 425-501-9073
  • Fax:
Mailing address:
  • Phone: 425-501-9073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC.LH.60164750
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: