Basic Information
Provider Information
NPI: 1528431897
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REED
FirstName: ANNE
MiddleName: KAJA
NamePrefix:  
NameSuffix:  
Credential: LMHC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3350 AIRPORT DRIVE
Address2:  
City: BELLINGHAM
State: WA
PostalCode: 98226
CountryCode: US
TelephoneNumber: 3607345458
FaxNumber: 3607345298
Practice Location
Address1: 3350 AIRPORT DRIVE
Address2:  
City: BELLINGHAM
State: WA
PostalCode: 98226
CountryCode: US
TelephoneNumber: 3606762220
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/08/2015
LastUpdateDate: 08/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YA0400XCP60260216WAN Behavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
101YM0800XLH60799060WAY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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