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NPI Code Detail

MEDICARE: FAITH REYNOLDS

MEDICARE: FAITH REYNOLDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker136342CA

General Provider Information

NPI Number : 1003691098
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAITH REYNOLDS
Provider Business Mailing Address
First Line : 26001 REDLANDS BLVD
Second Line :
City : REDLANDS
State : CA
Zip : 92373-7762
Country : US
Telephone Number : 909-489-2813
Fax Number :
Provider Business Practice Location Address
First Line : 26001 REDLANDS BLVD
Second Line :
City : REDLANDS
State : CA
Zip : 92373-7762
Country : US
Telephone Number : 909-583-6317
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2023
Last Update Date : 02/11/2026

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Directions to “ FAITH REYNOLDS ” Practice Location

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