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NPI Code Detail

MEDICARE: JESSICA REAVES M.ED., NCC, ALC

MEDICARE: JESSICA REAVES M.ED., NCC, ALC
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
1101YM0800XMental Health CounselorALC05711AL

General Provider Information

NPI Number : 1710852892
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA REAVES M.ED., NCC, ALC
Provider Business Mailing Address
First Line : 175 E VETERANS BLVD APT 15B
Second Line :
City : AUBURN
State : AL
Zip : 36832-6954
Country : US
Telephone Number : 334-521-8725
Fax Number :
Provider Business Practice Location Address
First Line : 166 N GAY ST
Second Line :
City : AUBURN
State : AL
Zip : 36830-4800
Country : US
Telephone Number : 334-329-6255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2025
Last Update Date : 10/08/2025

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