Individual
EMILY DAWN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
104 SW KINKADE ROAD, BOARDMAN, OR 97818
(541) 481-2911
(541) 481-2006
Mailing address
104 SW KINKADE ROAD, BOARDMAN, OR 97818
(541) 481-2911
(541) 481-2006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/19/2007
Last updated
07/05/2013
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