Individual provider · Type 1 NPI

Alisa Ann Reynolds, LMSW

Mental Health Counselor · Ithaca, NY

NPI number 1366244147 Active

Practice location

201 E Green St
Ithaca, NY 14850-5635

Call (607) 274-6200 Map

Mailing address

100 Roberts St Apt 11-1
Binghamton, NY 13901-2431

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X103138 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1366244147

Alisa Ann Reynolds, LMSW's National Provider Identifier is 1366244147, issued on Mar 25, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ithaca, NY. The record was last updated on Mar 25, 2025.