Individual
ROBERT REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1640 POWERS FERRY RD SE # SE14-200, MARIETTA, GA 30067-5491
(888) 551-5168
Mailing address
3677 SCHOOL ST, CHAMBLEE, GA 30341-2010
(404) 399-0465
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/28/2024
Last updated
09/03/2024
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