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NPI Profile for JEFFREY C REYNOLDS in PAXTON, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1477641165 |
|
| Status | Active | |
| Credentials | LCPC PHD | |
| Entity | Individual | |
| Enumeration date | 10/10/2006 | |
| Last updated | 01/25/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JEFFREY C REYNOLDS
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JEFFREY C REYNOLDS, LCPC PHD