Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 41 | |
N | 101YP1600X | Pastoral Counselor | 1069 |
NPI | 1083753487 |
---|---|
Provider Name | David F Reed |
First Address | Omaha, NE 68104 |
Second Address | Omaha, NE 68104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
47037661200 | (05) | NE |