CHAD PHILIP REAGH M.A., L.L.P.C.
NPI 1073795381
Counselor - Professional in Grand Rapids, MI
Active since November 28, 2007
About Chad Philip Reagh M.a., L.l.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHAD PHILIP REAGH M.A., L.L.P.C. (NPI 1073795381) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401008152) and active in the NPI registry since November 2007.
NPPES Registry Identity
NPI1073795381
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCHAD PHILIP REAGHCredential: M.A., L.L.P.C.
Location Address3300 36TH ST SEGrand Rapids, MI 49512-2810
Mailing Address3300 36th St SeGrand Rapids, MI 49512-2810 · (616) 942-2110 · Fax (616) 942-0589
Phone(616) 942-2110
Fax(616) 942-0589
Sole ProprietorNo
Enumeration DateNovember 28, 2007
✔ NPI 1073795381 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401008152
3300 36TH ST SE, Grand Rapids, MI 49512
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073795381, enumerated as an "individual" on November 28, 2007.
The provider is located at 3300 36TH ST SE GRAND RAPIDS, MI 49512 and the phone number is (616) 942-2110.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
