National Provider Identifier Database

JEFFREY C REYNOLDS, LCPC PHD – NPI #1477641165
Professional


Contact Information

JEFFREY C REYNOLDS, LCPC PHD
1510 W OTTAWA
PAXTON, IL60957
Phone: 217-379-4302
Fax: 217-379-4306
Website:
Specialty Taxonomy Code
* Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for JEFFREY C REYNOLDS

NPI Number 1477641165
Credentials LCPC PHD
Entity Individual
Enumeration date 10/10/2006
Last updated 01/25/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 180004199
  • IL Other: 180004199 LCPC
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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