David Af Raynolds, MA, LPC

NPI #1619998010 in Ashland, Oregon

Provider Information

NPI Number: 1619998010
Entity Type: Individual
Name: David Af Raynolds, MA, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: MA, LPC
Enumeration Date: Jul 21, 2006
Last Updated: May 31, 2012

Practice Location

Address: 600 SISKIYOU BLVD
City: Ashland
State: Oregon
ZIP Code: 97520-2140
Phone: (541) 821-6623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Counselor - Professional — Professional	101YP2500X	Primary

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