MEDICARE: KAMELAH REED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1093192205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAMELAH REED

Provider Business Mailing Address
First Line	:	200 S MADISON ST
Second Line	:
City	:	WAUPUN
State	:	WI
Zip	:	53963-2000
Country	:	US
Telephone Number	:	414-301-1741
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 S MADISON ST
Second Line	:
City	:	WAUPUN
State	:	WI
Zip	:	53963-2000
Country	:	US
Telephone Number	:	414-301-1741
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2015
Last Update Date	:	11/29/2023

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Directions to “ KAMELAH REED ” Practice Location

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