Provider Demographics
NPI:1891993671
Name:REED, JESSICA O (MA)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:O
Last Name:REED
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 BORREGO DR
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-5806
Mailing Address - Country:US
Mailing Address - Phone:970-426-9221
Mailing Address - Fax:
Practice Address - Street 1:2505 BORREGO DR
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5806
Practice Address - Country:US
Practice Address - Phone:970-426-9221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health