Individual
DR. JOLYNNE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LPC
Contact information
Practice address
5105 W. 128TH PLACE, BROOMFIELD, CO 80020-7186
(303) 875-9605
Mailing address
5105 W. 128TH PL., BROOMFIELD, CO 80020
(303) 875-9605
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5710
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48800082
—
CO
Enumeration date
05/03/2012
Last updated
06/23/2016
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