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NPI Code Detail

MEDICARE: WHITNEY DEE REINA MA, LPC, LCDC, NCC

MEDICARE: WHITNEY DEE REINA MA, LPC, LCDC, NCC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor14615TX
2101YM0800XMental Health Counselor80874TX

General Provider Information

NPI Number : 1568048437
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY DEE REINA MA, LPC, LCDC, NCC
Provider Business Mailing Address
First Line : 7006 GULF SHORE BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78244-1535
Country : US
Telephone Number : 210-215-7322
Fax Number :
Provider Business Practice Location Address
First Line : 1842 LOCKHILL SELMA RD STE 102
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78213-1559
Country : US
Telephone Number : 210-254-3618
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2021
Last Update Date : 03/22/2021

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