Provider Demographics
NPI:1760692131
Name:READER, ELIZABETH MAY (CCS, CADC, BACJA)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MAY
Last Name:READER
Suffix:
Gender:F
Credentials:CCS, CADC, BACJA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-1956
Mailing Address - Country:US
Mailing Address - Phone:248-390-5791
Mailing Address - Fax:866-250-6455
Practice Address - Street 1:238 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-1956
Practice Address - Country:US
Practice Address - Phone:248-390-5791
Practice Address - Fax:866-250-6455
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI631308101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health