person
Earnest Russell Reaves, LCPC
Professional Counselor in Edgewood, Maryland
NPI 1164936738

Earnest Russell Reaves is a Professional Counselor based in Edgewood, MD and is specialized in Professional. Earnest Russell Reaves practices in Edgewood, MD and has the professional credentials of LCPC. The NPI Number for Earnest Russell Reaves is 1164936738 and holds a License No. LC8273 (Maryland).

The current practice location address for Earnest Russell Reaves is 3109 Ebbtide Dr, Edgewood, MD and can be reached out via phone at 443-691-4982.

Location: 3109 Ebbtide Dr, Edgewood, MD, 21040-2920
person
Provider Profile Details
NPI Number
1164936738
Provider Name
Earnest Russell Reaves
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
3109 Ebbtide Dr, Edgewood, MD, 21040-2920
Phone Number
443-691-4982
Fax Number
Provider Enumeration Date
11/18/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3109 Ebbtide Dr
City
State
Zip
21040-2920
Phone Number
443-691-4982
Fax Number
person
Provider Business Mailing Address Details
Address
3109 Ebbtide Dr
City
State
Zip
21040-2920
Phone Number
443-691-4982
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC8273 (Maryland)
Definition
Definition to come...
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