Provider Demographics
NPI:1932251824
Name:REESE, MARCUS ANGELO SR (BA, AAC)
Entity Type:Individual
Prefix:MR
First Name:MARCUS
Middle Name:ANGELO
Last Name:REESE
Suffix:SR
Gender:M
Credentials:BA, AAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1600 E OLIVE ST
Mailing Address - Street 2:SOUND MENTAL HEALTH
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2735
Mailing Address - Country:US
Mailing Address - Phone:206-302-2200
Mailing Address - Fax:206-302-2210
Practice Address - Street 1:8705 166TH AVE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3749
Practice Address - Country:US
Practice Address - Phone:425-653-5080
Practice Address - Fax:425-653-8081
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG60133490101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health