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NPI Code Detail

MEDICARE: ANDREA REESE

MEDICARE: ANDREA REESE
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1760805170
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA REESE
Provider Business Mailing Address
First Line : 6016 GEORGETOWN DR
Second Line :
City : COLUMBUS
State : GA
Zip : 31907-4697
Country : US
Telephone Number : 706-563-3404
Fax Number :
Provider Business Practice Location Address
First Line : 1727 BOXWOOD PL
Second Line :
City : COLUMBUS
State : GA
Zip : 31906-2328
Country : US
Telephone Number : 706-569-5965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2014
Last Update Date : 01/22/2014

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Directions to “ ANDREA REESE ” Practice Location

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