Provider Demographics
NPI:1033139795
Name:REED, MICHAEL ALVIN (LPC, NCACII, CACII)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ALVIN
Last Name:REED
Suffix:
Gender:M
Credentials:LPC, NCACII, CACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 467, BOX 1898
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09096
Mailing Address - Country:US
Mailing Address - Phone:0611-705-1710
Mailing Address - Fax:0611-705-5216
Practice Address - Street 1:USAG WIESBADEN
Practice Address - Street 2:UNIT 29623, BLDH 1526
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09096
Practice Address - Country:US
Practice Address - Phone:0611-705-1710
Practice Address - Fax:0611-705-5216
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0408132101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)