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Individual

JACQUELINE MCREYNOLDS I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
607 1/2 RHODE ISLAND AVE NW, WASHINGTON, DC 20001-1854
(202) 506-4658
(202) 506-4860
Mailing address
607 1/2 RHODE ISLAND AVE, NW, WASHINGTON, DC 20001
(202) 506-4658
(202) 506-4860

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
66005684
DC
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
07/17/2015
Last updated
07/17/2015
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