Individual
BRIAN T REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDCC
Contact information
Practice address
291 SMITH RANCH RD, SAN RAFAEL, CA 94903-2093
(415) 492-0818
Mailing address
927 CORBY AVE, SANTA ROSA, CA 95407-6108
(707) 293-3605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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