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Trevor James Reynolds

Counselor, Professional in Colorado Springs, CO. Individual provider (NPI-1).

NPI number1760200802
StatusActive
Last updated in NPPESSep 27, 2024

Details

NPI
1760200802
Entity type
Individual (NPI-1)
Name
Trevor James Reynolds
Sex
Male
Sole proprietor
No
Enumeration date
Sep 27, 2024
Certification date
Sep 27, 2024
Last updated
Sep 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes
104100000X Social Worker––
106H00000X Marriage & Family Therapist––

Practice location

437 Windchime Pl
Colorado Springs, CO 80919-1984

Phone 719-657-7444

Mailing address

425 E Willamette Ave Apt 26
Colorado Springs, CO 80903-3055

Phone 816-518-5811

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