Jordan Reynolds
Counselor, Mental Health in Grants Pass, OR. Individual provider (NPI-1).
NPI number1669966883
StatusActive
Last updated in NPPESJun 20, 2018
Details
- NPI
- 1669966883
- Entity type
- Individual (NPI-1)
- Name
- Jordan Reynolds
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2018
- Last updated
- Jun 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1215 Sw G StGrants Pass, OR 97526-2544
Phone 541-476-2373
Mailing address
1215 Sw G StGrants Pass, OR 97526-2544
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