MRS. DOLORES THERESE REDDICK LCSW LCDC NPI 1679689673

NPI Information

MRS. Dolores Therese Reddick, LCSW, LCDC is an addiction (substance use disorder) counselor in San Antonio, TX. MRS. Dolores Therese Reddick, LCSW, LCDC NPI is 1679689673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4415 W PIEDRAS DR
SUITE 208
SAN ANTONIO, TX
ZIP 78228-216
Phone: (210) 733-9929
Fax: (210) 733-9916

The NPI 1679689673 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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