Individual
DR. MICHAEL CONNELL REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
251 COUNTRY CLUB DR, EDEN, NC 27288-3554
(336) 635-1899
(336) 635-1899
Mailing address
251 COUNTRY CLUB DR, EDEN, NC 27288-3554
(336) 635-1899
(336) 635-1899
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4211
NC
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102057
—
NC
Enumeration date
12/19/2005
Last updated
03/10/2014
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