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Individual
MR. DONALD REYNOLDS
Active
Individual
MR. DONALD REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC. CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16206-132
WI
101YM0800X
Mental Health Counselor
6746-125
WI
101YP2500X
Professional Counselor
Primary
6746125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100078435
—
WI
Enumeration date
06/12/2018
Last updated
03/23/2021
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