Provider Demographics
NPI:1013242692
Name:REEDER, STEPHEN S (MA, LPC, LPCC, NCC)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:S
Last Name:REEDER
Suffix:
Gender:M
Credentials:MA, LPC, LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 KRAMERIA ST # H135
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-2743
Mailing Address - Country:US
Mailing Address - Phone:323-334-0637
Mailing Address - Fax:
Practice Address - Street 1:2121 CLOVERFIELD BLVD STE 131
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-5277
Practice Address - Country:US
Practice Address - Phone:310-829-9161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0011355OtherTHERAPIST