Provider Demographics
NPI:1912662446
Name:REED, AUNICE YVONNE (AMFT, SUDCC)
Entity Type:Individual
Prefix:MISS
First Name:AUNICE
Middle Name:YVONNE
Last Name:REED
Suffix:
Gender:F
Credentials:AMFT, SUDCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 LAWRENCE CROSSLEY RD APT E4
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-6514
Mailing Address - Country:US
Mailing Address - Phone:310-303-4290
Mailing Address - Fax:
Practice Address - Street 1:2800 LAWRENCE CROSSLEY RD APT E4
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-6514
Practice Address - Country:US
Practice Address - Phone:310-303-4290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-31
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT129879106H00000X
CA8885101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty