Individual provider · Type 1 NPI

Donna Reynolds, LICDC 161766

Addiction (Substance Use Disorder) Counselor · Coal Grove, OH

NPI number 1144733940 Active

Practice location

323 Marion Pike Ste 3
Coal Grove, OH 45638-2958

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCDCII.161484 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA.163495 (OH)
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X161766 (OH)

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About NPI 1144733940

Donna Reynolds, LICDC 161766's National Provider Identifier is 1144733940, issued on Nov 15, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coal Grove, OH. The record was last updated on Nov 19, 2019.