Individual provider · Type 1 NPI
Stephanie Mae Reavis
Addiction (Substance Use Disorder) Counselor · Kent, WA
NPI number
1821972084
Active
Practice location
505 Washington Ave S
Kent, WA 98032-5709
Mailing address
325 W Gowe St
Kent, WA 98032-5892
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CP60917691 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1821972084
Stephanie Mae Reavis's National Provider Identifier is 1821972084, issued on Aug 1, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kent, WA. The record was last updated on Aug 1, 2025.