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NPI Code Detail

MEDICARE: SARAH HELEN REYNOLDS

MEDICARE:   SARAH HELEN 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

General Provider Information

NPI Number : 1558144055
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH HELEN REYNOLDS
Provider Business Mailing Address
First Line : 2626 N DRAKE AVE # 2
Second Line :
City : CHICAGO
State : IL
Zip : 60647-1210
Country : US
Telephone Number : 281-785-2662
Fax Number :
Provider Business Practice Location Address
First Line : 2835 N SHEFFIELD AVE # 522
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5081
Country : US
Telephone Number : 312-569-0121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2023
Last Update Date : 08/17/2023

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Directions to “ SARAH HELEN REYNOLDS ” Practice Location

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