Individual
MS. KELLY REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC-AD
Contact information
Practice address
301 BAY ST STE 307, EASTON, MD 21601-2796
(410) 819-5909
(410) 819-0591
Mailing address
301 BAY ST STE 307, EASTON, MD 21601-2796
(410) 819-5909
(410) 819-0591
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC1464
MD
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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