Individual
CYNTHIA L REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5660 CAITO DR, SUITE 122, INDIANAPOLIS, IN 46226-1372
(317) 771-8913
Mailing address
5660 CAITO DR, SUITE 122, INDIANAPOLIS, IN 46226-1372
(317) 771-8913
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001331A
IN
1041C0700X
Clinical Social Worker
Primary
34006007A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632549
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/11/2007
Last updated
11/22/2021
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