Individual
DAVID MICHAEL REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
855 S. GERMAN LANE #1, CONWAY, AR 72034-7203
(501) 358-6606
(501) 325-5554
Mailing address
855 S. GERMAN LANE #1, CONWAY, AR 72034-7870
(501) 358-6606
(501) 325-5554
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
P1104025
—
101YP2500X
Professional Counselor
Primary
P1710360
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5AE49
BCBS
—
Enumeration date
02/10/2009
Last updated
04/01/2022
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