Provider Demographics
NPI:1467518878
Name:REAM, JILLIAN POSTON (P-LCSW)
Entity Type:Individual
Prefix:MS
First Name:JILLIAN
Middle Name:POSTON
Last Name:REAM
Suffix:
Gender:F
Credentials:P-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 517
Mailing Address - Street 2:493 MEDICAL PARK DR
Mailing Address - City:MARSHALL
Mailing Address - State:NC
Mailing Address - Zip Code:28753-0517
Mailing Address - Country:US
Mailing Address - Phone:828-649-2367
Mailing Address - Fax:
Practice Address - Street 1:493 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:NC
Practice Address - Zip Code:28753-3901
Practice Address - Country:US
Practice Address - Phone:828-649-2367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0035711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical