Individual
ALLYSON REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 CHERRY HILL DR STE 102B, COLUMBIA, MO 65203-5882
(573) 891-1330
Mailing address
6004 N VICKIE DR, COLUMBIA, MO 65202-9242
(314) 717-8504
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2021047095
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021047095
DEPT. OF COMMERCE AND INSURANCE DIVISION OF PROFESSIONAL REGISTRATION -COUNSELOR
MO
Enumeration date
11/02/2022
Last updated
11/02/2022
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