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NPI Code Detail

MEDICARE: ANNA MARIE REESE M.ED, LSC, LMHC

MEDICARE:   ANNA MARIE REESE  M.ED, LSC, LMHC
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 Counselor
2101YM0800XMental Health Counselor39003962AIN

Other Identifiers

General Provider Information

NPI Number : 1790270692
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA MARIE REESE M.ED, LSC, LMHC
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6640 INTECH BLVD STE 195
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46278-2014
Country : US
Telephone Number : 317-295-0608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2018
Last Update Date : 01/30/2024

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Directions to “ ANNA MARIE REESE M.ED, LSC, LMHC” Practice Location

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