person
Mr. Donald Reynolds, LPCCSAC
Addiction (Substance Use Disorder) Counselor in Fort Atkinson, Wisconsin
NPI 1922591254

Donald Reynolds is an Addiction (Substance Use Disorder) Counselor based in Fort Atkinson, WI and is specialized in Addiction (Substance Use Disorder). Donald Reynolds practices in Fort Atkinson, WI and has the professional credentials of LPCCSAC. The NPI Number for Donald Reynolds is 1922591254 and holds a License No. 6746-125 (Wisconsin).

The current practice location address for Donald Reynolds is 20 Sherman Ave E, Fort Atkinson, WI and can be reached out via phone at 920-728-1810.

Location: 20 Sherman Ave E, Fort Atkinson, WI, 53538-1919
person
Provider Profile Details
NPI Number
1922591254
Provider Name
Donald Reynolds
Credential
LPCCSAC
Provider Entity Type
Individual
Gender
Male
Address
20 Sherman Ave E, Fort Atkinson, WI, 53538-1919
Phone Number
920-728-1810
Fax Number
Provider Enumeration Date
06/12/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100078435 05 WI
institution
Provider Business Practice Location Address Details
Address
20 Sherman Ave E
City
State
Zip
53538-1864
Phone Number
920-728-1810
Fax Number
person
Provider Business Mailing Address Details
Address
20 Sherman Ave E
City
State
Zip
53538-1864
Phone Number
920-728-1810
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16206-132 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6746125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6746-125 (Wisconsin)
Definition
Definition to come...
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