Provider Demographics
NPI:1609484146
Name:REINDERS, CARRIE ANN (LPC-MH)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:ANN
Last Name:REINDERS
Suffix:
Gender:F
Credentials:LPC-MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 N HALL ST
Mailing Address - Street 2:
Mailing Address - City:VALENTINE
Mailing Address - State:NE
Mailing Address - Zip Code:69201-2213
Mailing Address - Country:US
Mailing Address - Phone:402-389-0339
Mailing Address - Fax:
Practice Address - Street 1:515 N HALL ST
Practice Address - Street 2:
Practice Address - City:VALENTINE
Practice Address - State:NE
Practice Address - Zip Code:69201-2213
Practice Address - Country:US
Practice Address - Phone:402-389-0339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC-MH30514101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health