Individual
NOEL ROBERTO REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, LPC
Contact information
Practice address
3215 TOWER AVE STE 108, SUPERIOR, WI 54880-5328
(715) 718-5606
Mailing address
310 BLAINE AVE, CLOQUET, MN 55720-1267
(218) 565-1376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
02174
MN
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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