Individual provider · Type 1 NPI
Charles Henry Reynolds Sr., MRE, CADC I
Addiction (Substance Use Disorder) Counselor · Hillsboro, OR
NPI number
1053782938
Active
Practice location
504 NE 18th Ave
Hillsboro, OR 97124-3508
Fax (503) 595-3478
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15-09-18 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1053782938
Charles Henry Reynolds Sr., MRE, CADC I's National Provider Identifier is 1053782938, issued on Oct 16, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hillsboro, OR. The record was last updated on Oct 20, 2016.