Individual
MR. KEVIN JAMES REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMHC, NCC
Contact information
Practice address
515 PACIFIC AVE STE 1, AUDUBON, IA 50025-1056
(712) 563-5285
(855) 303-9139
Mailing address
515 PACIFIC AVE STE 1, AUDUBON, IA 50025-1056
(712) 563-5285
(855) 303-9139
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
095019
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140292
—
IA
05
—
0716148
—
IA
05
—
1140292
—
IA
Enumeration date
11/21/2016
Last updated
01/07/2026
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