Healthcare Provider Details

I. General information

NPI: 1841615564
Provider Name (Legal Business Name): REED HENRY I MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2014
Last Update Date: 12/14/2025
Certification Date: 04/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

884 W PARK AVE
PORT TOWNSEND WA
98368-2273
US

IV. Provider business mailing address

PO BOX 565
PORT TOWNSEND WA
98368-0565
US

V. Phone/Fax

Practice location:
  • Phone: 360-385-0321
  • Fax:
Mailing address:
  • Phone: 360-303-3430
  • Fax: 360-595-9183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number00008890
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: