Individual
ANDREA SUZETTE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 OAK ST, ROCKY MOUNT, VA 24151-1201
(276) 692-6927
Mailing address
200 OAK ST, ROCKY MOUNT, VA 24151-1201
(276) 692-6927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0904014928
VA
1041C0700X
Clinical Social Worker
Primary
0904014928
VA
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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