Individual
EMILY MARIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
255 S 17TH ST, PHILADELPHIA, PA 19103-6231
(508) 240-4631
Mailing address
1708 S RINGGOLD ST, PHILADELPHIA, PA 19145-1809
(508) 240-4631
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC011141
PA
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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