Individual
JEFF DAVID REYNOLDS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4120 MERIDIAN ST, BELLINGHAM, WA 98226-6471
(360) 922-3030
Mailing address
4120 MERIDIAN ST, BELLINGHAM, WA 98226-6471
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
12/17/2020
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