Individual provider · Type 1 NPI
Jack Edward Reed, LPC
Mental Health Counselor · Austin, TX
NPI number
1053472969
Active
Practice location
4009 Banister Ln # 369
Austin, TX 78704-6853
Mailing address
PO Box 91025
Austin, TX 78709-1025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AAC 1128-0080 (TX) |
| Mental Health Counselor Primary | 101YM0800X | LPC 16662 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1053472969
Jack Edward Reed, LPC's National Provider Identifier is 1053472969, issued on Dec 13, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Feb 13, 2012.