Individual
MR. MARK RYAN REYNAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LMFT
Contact information
Practice address
4787 WAYWOOD DR, SUITE C, ZACHARY, LA 70791-2465
(225) 654-6321
(225) 654-6321
Mailing address
4787 WAYWOOD DR, SUITE C, ZACHARY, LA 70791-2465
(225) 654-6321
(225) 654-6321
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1734
LA
106H00000X
Marriage & Family Therapist
Primary
99
LA
Other
Enumeration date
09/29/2006
Last updated
06/20/2011
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