Individual
MARY A REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3833 COON RAPIDS BLVD NW, SUITE 120, COON RAPIDS, MN 55433-2643
(763) 767-3350
(763) 767-0921
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, SAINT PAUL, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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