Individual
ANDREA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E HOLT AVE STE B, POMONA, CA 91767-5407
(909) 620-2521
Mailing address
338 JESSICA LN, CORONA, CA 92882-8534
(714) 356-1457
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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