Provider Demographics
NPI:1528355112
Name:REED, EDWARD JAMES (MS/ LPC)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:JAMES
Last Name:REED
Suffix:
Gender:M
Credentials:MS/ LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 PORTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-7309
Mailing Address - Country:US
Mailing Address - Phone:541-857-0873
Mailing Address - Fax:541-245-1530
Practice Address - Street 1:18 PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-7309
Practice Address - Country:US
Practice Address - Phone:541-857-0873
Practice Address - Fax:541-245-1530
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health