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Individual
DONNA REYNOLDS
Active
Individual
DONNA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICDC 161766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161766
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.163495
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCII.161484
OH
171M00000X
Case Manager/Care Coordinator
—
NULL
Other
Enumeration date
11/15/2017
Last updated
11/19/2019
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