Individual
MR. JOHN MARTIN REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
205 S MELDRUM ST, FT COLLINS, CO 80521-2071
(970) 484-3494
Mailing address
205 S MELDRUM ST, PO BOX 343, FT COLLINS, CO 80521-2071
(970) 484-3494
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
083
WY
1041C0700X
Clinical Social Worker
Primary
989313
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304151
BLUE SHIELD NUMBER
WY
Enumeration date
07/07/2005
Last updated
04/17/2008
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