MRS. Lisa Reynolds, CASAC

NPI #1952728370 in Medford, New York

Provider Information

NPI Number
1952728370
Entity Type
Individual
Name
MRS. Lisa Reynolds, CASAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CASAC
Enumeration Date
Mar 24, 2014
Last Updated
Mar 24, 2014

Practice Location

Address
3251 ROUTE 112
Address 2
BLDG 9 SUITE 2
ZIP Code
11763-1446
Phone
(631) 451-6007

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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