Individual
ELIZABETH REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 S 3RD ST, LOMBARD, IL 60148-3103
(630) 981-7718
Mailing address
444 E ROOSEVELT RD # 131, LOMBARD, IL 60148-4630
(630) 981-7718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
149.011908
IL
101YM0800X
Mental Health Counselor
149011980
IL
1041C0700X
Clinical Social Worker
Primary
149.011908
IL
1041C0700X
Clinical Social Worker
149011908
IL
Other
Enumeration date
03/18/2015
Last updated
12/30/2021
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