Individual
JORDANN MARIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16941 N EAGLE RIVER LOOP RD UNIT 4, EAGLE RIVER, AK 99577-7824
(907) 715-4993
Mailing address
PO BOX 2001, PALMER, AK 99645-2001
(907) 315-3515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
199407
AK
Other
Enumeration date
09/10/2020
Last updated
08/30/2023
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