Individual
ELLEN MARIE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
7602 BIG BEND BLVD, SAINT LOUIS, MO 63119-2106
(314) 246-9502
Mailing address
7602 BIG BEND BLVD, SAINT LOUIS, MO 63119-2106
(314) 246-9502
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008032692
MO
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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