Individual
TODD E REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LAT
Contact information
Practice address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
(307) 638-8256
Mailing address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
(307) 638-8256
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
307
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
PAT-014
WY
Other
Enumeration date
04/26/2007
Last updated
05/21/2015
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