Individual
JADI JO REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
11614 S HIGHWAY 21, KELLER, WA 99140-9537
(509) 634-2050
Mailing address
PO BOX 150, NESPELEM, WA 99155-0150
(509) 634-2610
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
50568
MT
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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