Individual
MANIJEH REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
7614 PAULS VIEW PL, LOUISVILLE, KY 40228-1357
(316) 390-0434
Mailing address
9100 FERN CREEK RD UNIT 91796, LOUISVILLE, KY 40291-7035
(316) 390-0434
(502) 830-9800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
03344
KS
101YM0800X
Mental Health Counselor
Primary
279091
KY
101YP2500X
Professional Counselor
3056
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100837810
—
KY
Enumeration date
11/15/2017
Last updated
11/29/2022
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