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Individual

MICHAEL REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC-MHSP

Contact information

Practice address
3388 MCMINNVILLE HWY, MANCHESTER, TN 37355-3624
(931) 499-3113
(931) 499-3113
Mailing address
PO BOX 1004, MANCHESTER, TN 37349-1004

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
2764
TN
101YP2500X
Professional Counselor
2764
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2764
BOARD FOR LICENSED PROFESSIONAL COUNSELORS
TN
Enumeration date
03/01/2007
Last updated
06/24/2025
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