Individual
DAVINA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2650
(833) 510-4357
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(833) 510-4357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA179672
OH
171M00000X
Case Manager/Care Coordinator
CDCA.183648
OH
Other
Enumeration date
02/10/2022
Last updated
09/26/2024
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