NPI Profile for TARA REED in GILLETTE, WY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1053548370 |
|
| Status | Active | |
| Credentials | M.A., NCC, LPC | |
| Entity | Individual | |
| Enumeration date | 06/12/2009 | |
| Last updated | 02/20/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TARA REED
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