Individual
MS. ASHLEY REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2222 BANCROFT WAY, BERKELEY, CA 94720-4301
(510) 642-3628
Mailing address
5 TANGLEWOOD RD, BERKELEY, CA 94705-1420
(510) 495-5063
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW 28958
NONE
CA
Enumeration date
09/08/2008
Last updated
08/09/2013
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