Individual
BROOKE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
404 ZENA RD STE 2, WOODSTOCK, NY 12498-2627
(845) 315-7902
Mailing address
404 ZENA RD STE 2, WOODSTOCK, NY 12498-2627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P131553
NY
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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