Individual provider · Type 1 NPI

Brian T. Reynolds, SUDCC

Addiction (Substance Use Disorder) Counselor · San Rafael, CA

NPI number 1639926645 Active

Practice location

291 Smith Ranch Rd
San Rafael, CA 94903-2093

Mailing address

927 Corby Ave
Santa Rosa, CA 95407-6108

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1639926645

Brian T. Reynolds, SUDCC's National Provider Identifier is 1639926645, issued on May 6, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on May 6, 2024.