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NPI Code Detail

MEDICARE: ADRIAN PATRICE REEVES

MEDICARE: ADRIAN PATRICE REEVES
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) Counselor

General Provider Information

NPI Number : 1649791625
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIAN PATRICE REEVES
Provider Business Mailing Address
First Line : 10637 S ST ANDREWS PL
Second Line :
City : LOS ANGELES
State : CA
Zip : 90047-4406
Country : US
Telephone Number : 323-430-0866
Fax Number :
Provider Business Practice Location Address
First Line : 844 PICO BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-1325
Country : US
Telephone Number : 310-314-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2017
Last Update Date : 11/16/2023

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Directions to “ ADRIAN PATRICE REEVES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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