Individual
BARBARA JEAN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 15TH AVE S STE 102, SEATTLE, WA 98108-1874
(206) 659-9837
Mailing address
857 N 145TH LN, SHORELINE, WA 98133-6443
(044) 844-8148
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
SC61116175
WA
1041C0700X
Clinical Social Worker
Primary
SC61116175
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710536529
—
WA
Enumeration date
09/05/2019
Last updated
02/27/2024
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