Provider Demographics
NPI:1467839456
Name:REESE, VALARIE (MS, EDS, LPES)
Entity Type:Individual
Prefix:MS
First Name:VALARIE
Middle Name:
Last Name:REESE
Suffix:
Gender:F
Credentials:MS, EDS, LPES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 WALL ST APT 531
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:SC
Mailing Address - Zip Code:29020-7667
Mailing Address - Country:US
Mailing Address - Phone:803-713-7071
Mailing Address - Fax:
Practice Address - Street 1:148 WALL ST APT 531
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:SC
Practice Address - Zip Code:29020-7667
Practice Address - Country:US
Practice Address - Phone:803-713-7071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-29
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool