Individual
JALEN REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8201 KELWOOD AVE, BATON ROUGE, LA 70806-4802
(225) 590-3313
Mailing address
5667 FREY ST, BATON ROUGE, LA 70805-7137
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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