Individual
KAILAN C REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N/A
Contact information
Practice address
709 DAVIDSON ST, TULLAHOMA, TN 37388-3607
(931) 393-5900
Mailing address
7316 GOOD EARTH CIR, OOLTEWAH, TN 37363-7120
(423) 605-2673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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