Jeffrey C Reynolds, LCPC PHD | |
1510 W Ottawa, Paxton, IL 60957 | |
(217) 379-4302 | |
(217) 379-4306 |
Full Name | Jeffrey C Reynolds |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1510 W Ottawa, Paxton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477641165 | NPI | - | NPPES |
180004199 | Other | IL | LCPC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180004199 (Illinois) | Primary |
Entity Name | Community Resource & Counseling Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972567261 PECOS PAC ID: 6608861174 Enrollment ID: O20040415000893 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey C Reynolds, LCPC PHD Po Box 162, Paxton, IL 60957-0162 Ph: (217) 379-4302 | Jeffrey C Reynolds, LCPC PHD 1510 W Ottawa, Paxton, IL 60957 Ph: (217) 379-4302 |
Constance J Arseneau, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 W Ottawa Rd, Paxton, IL 60957 Phone: 217-379-4302 Fax: 217-379-4304 | |
Rue Bryne, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 W Ottawa Rd, Paxton, IL 60957 Phone: 217-379-4302 Fax: 217-817-0379 | |
Imanol Salazar, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 W Ottawa Rd, Paxton, IL 60957 Phone: 217-379-4302 Fax: 217-817-0379 | |
Carolyn Cruse, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 W Ottawa Rd, Paxton, IL 60957 Phone: 217-379-4302 Fax: 217-379-4304 | |
Anne Kuna, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 W Ottawa Rd, Paxton, IL 60957 Phone: 217-379-4304 Fax: 217-379-4304 | |
Rebecca Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 W Ottawa Rd, Paxton, IL 60957 Phone: 217-379-4302 | |
Anna M Lane, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 W Ottawa Rd, Paxton, IL 60957 Phone: 217-379-4302 Fax: 217-379-4304 |