Individual provider · Type 1 NPI

Brenda Nahiely Reza

Student in an Organized Health Care Education/Training Program · Southfield, MI

NPI number 1073022802 Active

Practice location

17320 W 12 Mile Rd
Southfield, MI 48076-2100

Call (248) 727-3456 Map

Fax (242) 557-4697

Other practice locations

  • 9445 Farnham St., Suite 100, San Diego, CA 92123 · (619) 980-9312

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073022802

Brenda Nahiely Reza's National Provider Identifier is 1073022802, issued on Sep 25, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southfield, MI. The record was last updated on Oct 20, 2022.