Individual provider · Type 1 NPI

Imani Reynolds

Addiction (Substance Use Disorder) Counselor · Roseville, CA

NPI number 1902259096 Active

Practice location

1133 Coloma Way
Roseville, CA 95661-4480

Mailing address

2816 Norcade Cir Apt 4
Sacramento, CA 95826-3447

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 1902259096

Imani Reynolds's National Provider Identifier is 1902259096, issued on Jul 13, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseville, CA. The record was last updated on Jul 13, 2016.