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General NPI Number Information
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NPI Number | 1801794847
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Entity Type | Organization
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Legal Business Name | RESERVE PROFESSIONAL SERVICES GROUP
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Dates
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Enumeration Date | 10/29/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 4030 GILL AVE
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City | HAMPSTEAD
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State | MD
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Zip | 21074-2213
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Country | US
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Telephone | 443-777-0925
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Fax |
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Provider Business Mailing Address
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Address Line | 942 MAGNOLIA BLOSSOM CT
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City | SYKESVILLE
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State | MD
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Zip | 21784-7688
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MICHAEL GRIESSER
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Credential |
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Telephone | 443-890-4309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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