Individual
JEFFREY C REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC PHD
Contact information
Practice address
1510 W OTTAWA, PAXTON, IL 60957
(217) 379-4302
(217) 379-4306
Mailing address
PO BOX 162, PAXTON, IL 60957-0162
(217) 379-4302
(217) 817-0379
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180004199
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180004199
LCPC
IL
Enumeration date
10/10/2006
Last updated
01/25/2024
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