Most Relevant Information
Provider Data
| NPI Number: | 1003255050 |
| Provider Name: | ADAM LLOYD REYNOLDS LMSW, CASAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 23622 |
Most Important Dates
| Enumeration Date: | 06/21/2013 |
| Last Updated: | 06/21/2013 |
Provider Practice Location
3727 86TH ST APT 5R
JACKSON HTS
NY
113727416
Practice Location Phone/Fax
| Phone: | 9172160614 |
| Fax: |
Provider Mailing Location
3727 86TH ST APT 5R
JACKSON HTS
NY
113727416
Provider Mailing Phone/Fax
| Phone: | 9172160614 |
| Fax: |