Individual provider · Type 1 NPI
Edward Reavey Iv
Addiction (Substance Use Disorder) Counselor · Boulder, CO
NPI number
1548670714
Active
Practice location
1333 Iris Ave
Boulder, CO 80304-2226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13-12-34 (OR) |
| Mental Health Counselor | 101YM0800X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1548670714
Edward Reavey Iv's National Provider Identifier is 1548670714, issued on Apr 28, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boulder, CO. The record was last updated on Jul 31, 2017.