Individual
DR. RAE MARIE MCREYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. P. C.
Contact information
Practice address
23 E BRUNDAGE ST, SHERIDAN, WY 82801-6302
(307) 674-9697
Mailing address
23 E BRUNDAGE ST, SHERIDAN, WY 82801-6302
(307) 674-9697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-607
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-607
LICENSED PROFESSIONAL COU
WY
Enumeration date
02/09/2007
Last updated
07/08/2007
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