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General NPI Number Information
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NPI Number | 1679230569
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Entity Type | Individual
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Provider Name | JENNA L REYNOLDS MA, NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 11/26/2021
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 10710 MIDLOTHIAN TPKE STE 127
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-4776
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Country | US
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Telephone | 804-207-6737
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Fax |
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Provider Business Mailing Address
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Address Line | 780 LYNNHAVEN PKWY STE 400
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7332
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Country | US
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Telephone | 571-207-6246
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Fax | 571-376-6605
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 98290
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701010775
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License Number State | VA
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