Individual
BROOKE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4669 N COMMERCE DR STE 4A, SIERRA VISTA, AZ 85635-2497
(520) 255-1421
Mailing address
P.O. BOX 1716, SIERRA VISTA, AZ 85636-1716
(520) 255-1421
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-10407
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228604
—
AZ
Enumeration date
10/20/2010
Last updated
07/01/2024
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