Individual
FAITH REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13460 WALSH DR, BOYS TOWN, NE 68010-7529
(531) 355-3362
(531) 355-3375
Mailing address
13460 WALSH DR, BOYS TOWN, NE 68010-7529
(531) 355-3362
(531) 355-3375
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12547
NE
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
04/06/2015
Last updated
05/04/2021
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