Provider Demographics
NPI:1811163041
Name:REESE, HARRY EUGENE SR
Entity type:Individual
Prefix:MR
First Name:HARRY
Middle Name:EUGENE
Last Name:REESE
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8408 LITTLE JOHN DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-5600
Mailing Address - Country:US
Mailing Address - Phone:803-783-1801
Mailing Address - Fax:
Practice Address - Street 1:8408 LITTLE JOHN DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-5600
Practice Address - Country:US
Practice Address - Phone:803-783-1801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health