person
Mrs. Lisa Reynolds, CASAC
Addiction (Substance Use Disorder) Counselor in Medford, New York
NPI 1952728370

Lisa Reynolds is an Addiction (Substance Use Disorder) Counselor based in Patchogue, NY and is specialized in Addiction (Substance Use Disorder). Lisa Reynolds practices in Medford, NY and has the professional credentials of CASAC. The NPI Number for Lisa Reynolds is 1952728370 and holds a License No. 22297 (New York).

The current practice location address for Lisa Reynolds is 3251 Route 112, Medford, NY and can be reached out via phone at 631-451-6007 and via fax at 631-297-8121.

Location: 3251 Route 112, Medford, NY, 11772-1106
person
Provider Profile Details
NPI Number
1952728370
Provider Name
Lisa Reynolds
Credential
CASAC
Provider Entity Type
Individual
Gender
Female
Address
3251 Route 112, Medford, NY, 11772-1106
Phone Number
631-451-6007
Fax Number
631-297-8121
Provider Enumeration Date
03/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3251 Route 112
City
State
Zip
11763-1446
Phone Number
631-451-6007
Fax Number
631-297-8121
person
Provider Business Mailing Address Details
Address
3251 Route 112
City
State
Zip
11763-1446
Phone Number
631-451-6007
Fax Number
631-297-8121
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
22297 (New York)
Definition
Definition to come...
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