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Manijeh Reynolds, LPCC

Counselor, Mental Health in Louisville, KY. Individual provider (NPI-1).

NPI number1013420751
StatusActive
Last updated in NPPESNov 29, 2022

Details

NPI
1013420751
Entity type
Individual (NPI-1)
Name
Manijeh Reynolds
Credential
LPCC
Sex
Female
Sole proprietor
No
Enumeration date
Nov 15, 2017
Certification date
Nov 29, 2022
Last updated
Nov 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health279091KYYes
101YM0800X Counselor, Mental Health03344KS
101YP2500X Counselor, Professional3056KS

Practice location

7614 Pauls View Pl
Louisville, KY 40228-1357

Phone 316-390-0434

Mailing address

9100 Fern Creek Rd Unit 91796
Louisville, KY 40291-7035

Phone 316-390-0434 · Fax 502-830-9800

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