Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Mark Reavis, PLADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1922883800

Justin Mark Reavis, PLADC is an Addiction (Substance Use Disorder) Counselor in Lincoln, Nebraska. Licensed in Nebraska. Registered with an NPI since 2023.

Licensed in
NE
In the registry since
2023

Practice location Address checks out

600 N Cotner Blvd Ste 119
Lincoln, NE 68505-2343
Phone: (402) 261-6667
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence P-2088 (NE)

Record details

NPI number1922883800
Entity typeIndividual (Type 1)
GenderMale
Credentials PLADC
Sole proprietorNo
NPI enumeratedAugust 29, 2023
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023

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