Individual
MR. ADAM LLOYD REYNOLDS
Active
Individual
MR. ADAM LLOYD REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, CASAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23622
NY
1041C0700X
Clinical Social Worker
Primary
082465
NY
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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