Individual
MR. DAVID ALLEN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LSW
Contact information
Practice address
2922 CLEVELAND BLVD STE 500, CALDWELL, ID 83605-6962
(208) 453-1439
(208) 453-1443
Mailing address
2922 CLEVELAND BLVD STE 500, CALDWELL, ID 83605-6962
(208) 453-1439
(208) 453-1443
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCP-3385
ID
104100000X
Social Worker
LSW-2401
ID
Other
Enumeration date
03/25/2009
Last updated
01/12/2011
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