Individual provider · Type 1 NPI
Jadi Jo Reynolds, LAC
Addiction (Substance Use Disorder) Counselor · Keller, WA
NPI number
1144940917
Active
Practice location
11614 S Highway 21
Keller, WA 99140-9537
Mailing address
PO Box 150
Nespelem, WA 99155-0150
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 50568 (MT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1144940917
Jadi Jo Reynolds, LAC's National Provider Identifier is 1144940917, issued on Aug 31, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Keller, WA. The record was last updated on Aug 31, 2022.