Individual
AMANDA RAE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8245 HOLLY RD STE 200, GRAND BLANC, MI 48439-2483
(810) 242-3740
Mailing address
8037 CORBIN CT, MOUNT MORRIS, MI 48458-9370
(810) 730-8074
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
6801112229
MI
Other
Enumeration date
05/20/2018
Last updated
01/02/2023
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