Individual
TAYLOR REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2903 S 5TH ST, IRONTON, OH 45638-2866
(740) 646-6640
Mailing address
323 MARION PIKE STE 3, COAL GROVE, OH 45638-2958
(740) 646-6640
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA173792
OH
163W00000X
Registered Nurse
RN.535900
OH
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.535900
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0378862
—
OH
Enumeration date
11/12/2019
Last updated
06/11/2024
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