Provider Demographics
NPI:1114270923
Name:REEL, EMILY (LPC ALPS MAC SAP)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:
Last Name:REEL
Suffix:
Gender:F
Credentials:LPC ALPS MAC SAP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ANNE
Other - Last Name:REEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:874 FAIRMONT RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26501-0086
Mailing Address - Country:US
Mailing Address - Phone:304-692-5779
Mailing Address - Fax:
Practice Address - Street 1:874 FAIRMONT RD
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26501-0086
Practice Address - Country:US
Practice Address - Phone:304-692-5779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-17
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006555101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC006555OtherLICENSED PROFESSIONAL COUNSELOR