Individual
CARRIE KATHLEEN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 S MYRTLE AVE, MONROVIA, CA 91016-3427
(626) 303-1541
Mailing address
47 N SIERRA BONITA AVE APT 9, PASADENA, CA 91106-2118
(626) 833-2552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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