Individual provider · Type 1 NPI

Stacey L. Reynolds

Professional Counselor · Edmond, OK

NPI number 1134542889 Active

Practice location

400 S Broadway Ste 15
Edmond, OK 73034-3848

Call (405) 562-4891 Map

Mailing address

1016 SW 44th St Ste 500
Oklahoma City, OK 73109-3615

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5931 (OK)

Professional Counselor: Definition to come...

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About NPI 1134542889

Stacey L. Reynolds's National Provider Identifier is 1134542889, issued on Jan 31, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Edmond, OK. The record was last updated on Nov 30, 2016.