Individual
MRS. REBECCA J REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3320 S LOOP 256, PALESTINE, TX 75801-6984
(903) 723-6136
(903) 589-3443
Mailing address
5656 N JACKSON ST, JACKSONVILLE, TX 75766-9641
(903) 589-9000
(903) 589-3443
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
65692
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283546401
—
TX
Enumeration date
06/13/2011
Last updated
12/29/2014
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