Individual
ANDREA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHC, LADC
Contact information
Practice address
108 DION ST, WINOOSKI, VT 05404
(518) 221-7227
Mailing address
108 DION ST, WINOOSKI, VT 05404-1517
(518) 221-7227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0117987
VT
Other
Enumeration date
12/19/2017
Last updated
06/03/2018
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