Individual
HALLIE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
429 W BROADWAY AVE, MEDFORD, WI 54451-1608
(715) 748-4312
Mailing address
429 W BROADWAY AVE, MEDFORD, WI 54451-1608
(715) 748-4312
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1249-228
WI
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
08/06/2026
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