Individual provider · Type 1 NPI

Theo Reynolds

Mental Health Counselor · Oakland, CA

NPI number 1053269936 Active

Practice location

6810 Broadway Ter
Oakland, CA 94611-1907

Call (408) 623-1970 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC5658 (OR)

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Oakland

See all in Oakland →

About NPI 1053269936

Theo Reynolds's National Provider Identifier is 1053269936, issued on Mar 17, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oakland, CA. The record was last updated on Mar 17, 2026.