| Amanda Reynolds Counseling, Llc | |
|
810 Locust St Dubuque IA 52001-6705 | |
| (563) 275-6605 | |
| (563) 726-7361 |
| Full Name | Amanda Reynolds Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 810 Locust St, Dubuque, Iowa |
| Authorized Official Name and Position | Amanda Reynolds (THERAPIST/OWNER) |
| Authorized Official Contact | 5632756605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Reynolds Counseling, Llc 810 Locust St Dubuque IA 52001-6705 Ph: (563) 275-6605 | Amanda Reynolds Counseling, Llc 810 Locust St Dubuque IA 52001-6705 Ph: (563) 275-6605 |
| NPI Number | 1285152645 |
|---|---|
| Provider Enumeration Date | 09/06/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2860768231 |
|---|---|
| Medicare Enrollment ID | O20171030003397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285152645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 008256 (Iowa) | Primary |
| Provider Name | Amanda M Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700225232 PECOS PAC ID: 6002119062 Enrollment ID: I20160125002480 |
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