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NPI Code Detail

MEDICARE: MRS. JENNY MEAD REED LMFT, LPC

MEDICARE: MRS. JENNY MEAD REED LMFT, LPC
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
1101YP2500XProfessional Counselor010595GA
2101YP2500XProfessional Counselor001755GA

General Provider Information

NPI Number : 1881464980
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNY MEAD REED LMFT, LPC
Provider Business Mailing Address
First Line : 102 MACY DR
Second Line :
City : ROSWELL
State : GA
Zip : 30076-6329
Country : US
Telephone Number : 678-534-3824
Fax Number :
Provider Business Practice Location Address
First Line : 102 MACY DR
Second Line :
City : ROSWELL
State : GA
Zip : 30076-6329
Country : US
Telephone Number : 678-534-3824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2024
Last Update Date : 01/09/2024

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