Provider Demographics
NPI:1487309670
Name:REYNOLDS, JENNIFER (LPCC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:SLOAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7426 US HIGHWAY 42 STE 106
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-2056
Mailing Address - Country:US
Mailing Address - Phone:859-282-0119
Mailing Address - Fax:859-282-8018
Practice Address - Street 1:7426 US HIGHWAY 42 STE 106
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-2056
Practice Address - Country:US
Practice Address - Phone:859-282-0119
Practice Address - Fax:859-282-8018
Is Sole Proprietor?:No
Enumeration Date:2022-02-16
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional