Individual
KAREN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OH
101YM0800X
Mental Health Counselor
—
—
171400000X
Health & Wellness Coach
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79057965
—
OH
Enumeration date
03/20/2025
Last updated
03/20/2025
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