Provider Demographics
NPI:1265062830
Name:REEKIE, KAREN (ICAC,SCCD,MATS)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:REEKIE
Suffix:
Gender:F
Credentials:ICAC,SCCD,MATS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3851 MAIN ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-2864
Mailing Address - Country:US
Mailing Address - Phone:203-372-3333
Mailing Address - Fax:203-374-7515
Practice Address - Street 1:3851 MAIN ST FL 2
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-2864
Practice Address - Country:US
Practice Address - Phone:203-372-3333
Practice Address - Fax:203-374-7515
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)