Provider Demographics
NPI:1609603976
Name:REED, MEGAN (NCC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ROCKBROOK DR BSMT UNIT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-3752
Mailing Address - Country:US
Mailing Address - Phone:703-431-4570
Mailing Address - Fax:
Practice Address - Street 1:125 N BAYARD AVE
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-5156
Practice Address - Country:US
Practice Address - Phone:540-946-4660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAPROV-0663725101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool