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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EARNEST RUSSELL REAVES, LCPC

Active Sole Proprietor

EARNEST RUSSELL REAVES, LCPC is a Professional Counselor healthcare provider located in EDGEWOOD, Maryland. NPI 1164936738 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · EDGEWOOD, MD

Registration Details

NPI Number
1164936738
Provider Type
Individual
Gender
Male
NPI Issued
Nov 18, 2017 (8.7133212936418 yrs)
Last Updated
Nov 18, 2017
License
LC8273 (MD)
Sole Proprietor
Yes

Practice Information

Address
3109 EBBTIDE DR
EDGEWOOD, MD, 210402920
Browse MD providers · Browse ZIP 21040
Phone
4436914982
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in EDGEWOOD, MD

Name Credential NPI
MRS. AMANDA LOUISE BOBLITZ-MCFADDEN LCPC 1063714913
IBIYEMI OLUWABIYI LGPC 1538766936
RACHELLE VICTORIA JOHNSON LCPC 1538830492
MRS. SHAWNNA JOHNSON MS, LCPC 1912660788
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.