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General NPI Number Information
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NPI Number | 1497326375
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Entity Type | Organization
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Legal Business Name | LINDSEY REYNOSO, LCSW: MENTAL HEALTH COUNSELING & CONSULTING PLLC
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Dates
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Enumeration Date | 07/01/2021
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 428 S GILBERT RD STE 105
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City | GILBERT
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State | AZ
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Zip | 85296-2261
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Country | US
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Telephone | 480-442-5007
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Fax |
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Provider Business Mailing Address
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Address Line | 428 S GILBERT RD STE 105
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City | GILBERT
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State | AZ
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Zip | 85296-2261
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Country | US
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Telephone | 480-442-5007
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Fax |
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | MRS. LINDSEY L. REYNOSO
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Credential | LCSW, MSW, CCTP, BSP
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Telephone | 480-442-5007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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