Individual
MRS. SHANNON REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
5800 NORTHVIEW LN NW, ALBUQUERQUE, NM 87120-2038
(505) 350-2873
Mailing address
5800 NORTHVIEW LN NW, ALBUQUERQUE, NM 87120-2038
(505) 350-2873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0096931
NM
171100000X
Acupuncturist
Primary
AOM-2024-0020
NM
Other
Enumeration date
10/19/2010
Last updated
09/03/2024
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