Individual
MICHAEL ALLEN REYNOLDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
2149 JOLLY RD STE 500, OKEMOS, MI 48864-6028
(517) 347-4645
Mailing address
18900 E MICHIGAN AVE, MARSHALL, MI 49068-9374
(517) 652-9192
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401018033
MI
101YP2500X
Professional Counselor
6401018033
MI
Other
Enumeration date
09/18/2020
Last updated
09/25/2020
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