Most Relevant Information
Provider Data
| NPI Number: | 1003420878 |
| Provider Name: | SHARRA MICHELLE REYNOLDS |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/31/2020 |
| Last Updated: | 06/02/2021 |
Provider Practice Location
118 E 8TH ST
PORT ANGELES
WA
983626129
Practice Location Phone/Fax
| Phone: | 3604570431 |
| Fax: | 3604570493 |
Provider Mailing Location
118 E 8TH ST
PORT ANGELES
WA
983626129
Provider Mailing Phone/Fax
| Phone: | 3604570431 |
| Fax: | 3604570493 |