Individual
DONNA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICDC 161766
Contact information
Practice address
323 MARION PIKE STE 3, COAL GROVE, OH 45638-2958
(740) 464-6640
Mailing address
323 MARION PIKE STE 3, COAL GROVE, OH 45638-2958
(740) 646-6640
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161766
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.163495
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCII.161484
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0259184
—
OH
Enumeration date
11/15/2017
Last updated
11/19/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us