Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | 37 | NC |
NPI | 1033348750 |
---|---|
Provider Name | Dr. Louis Benton Reed |
First Address | Charlotte, NC 28210-4721 |
Second Address | Charlotte, NC 28210-4721 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2009 |
Last Update Date | 02/07/2009 |