MEDICARE: TODD WILLIAM REED LPCC, ICDC

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
1	101YP2500X	Professional Counselor	E0002437	OH
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	943978	OH

General Provider Information

NPI Number	:	1952524738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD WILLIAM REED LPCC, ICDC

Provider Business Mailing Address
First Line	:	1269 COLFAX AVE
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45419-2103
Country	:	US
Telephone Number	:	937-299-4804
Fax Number	:	937-299-4804

Provider Business Practice Location Address
First Line	:	1269 COLFAX AVE
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45419-2103
Country	:	US
Telephone Number	:	937-299-4804
Fax Number	:	937-299-4804

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	09/11/2025

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