Individual
MRS. JIM ANN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
504 E 24TH ST, TISHOMINGO, OK 73460-3214
(580) 371-9933
(580) 371-9944
Mailing address
1300 HOPPE BLVD STE 6, ADA, OK 74820-2319
(580) 235-0274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3085
OK
101YP2500X
Professional Counselor
3085
OK
Other
Enumeration date
04/15/2009
Last updated
08/21/2024
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