Individual provider · Type 1 NPI
Pamela K. Reynolds, CADC III CC5G
Addiction (Substance Use Disorder) Counselor · Lacrosse, WI
NPI number
1720028640
Active
Practice location
1005 Jackson Street
Lacrosse, WI 54601
Fax (608) 791-9511
Mailing address
700 West Avenue South, Attn Physician Services
Lacrosse, WI 54601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1305 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Lacrosse
About NPI 1720028640
Pamela K. Reynolds, CADC III CC5G's National Provider Identifier is 1720028640, issued on Jun 8, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lacrosse, WI. The record was last updated on Jul 13, 2026.