Individual
COURTNEY REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFTA
Contact information
Practice address
3859 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Mailing address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60695585
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100736
—
WA
Enumeration date
06/06/2017
Last updated
01/14/2020
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