Most Relevant Information
Provider Data
NPI Number: | 1003507757 |
Provider Name: | KORIE RENEE REYNOLDS |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 05/15/2023 |
Last Updated: | 05/30/2023 |
Provider Practice Location
1701 MISSION AVE STE 310
OCEANSIDE
CA
920587110
Practice Location Phone/Fax
Phone: | 7607212781 |
Fax: |
Provider Mailing Location
1400 N JOHNSON AVE STE 101
EL CAJON
CA
920201651
Provider Mailing Phone/Fax
Phone: | |
Fax: |