Individual
RICHARD AXEL REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LAMFT
Contact information
Practice address
519 W STATE RD STE 102, PLEASANT GROVE, UT 84062-2158
(385) 312-9844
Mailing address
519 W STATE RD STE 102, PLEASANT GROVE, UT 84062-2158
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7132546-3902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7132546-3902
MARRIAGE & FAMILY THERAPIST LICENSE NUMBER
UT
Enumeration date
01/03/2022
Last updated
02/02/2022
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