Reynolds, Edna Beth

Reynolds, Edna Beth is an sole proprietor health care provider with primary practice located at 4490 Williams Ave , La Mesa CA 91942. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Reynolds, Edna Beth can be contacted via phone (619) 668-4200.

Contact Information

Primary practice address
4490 Williams Ave La Mesa CA 91942
Phone: (619) 668-4200
Fax: (619) 668-4281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1962690347
LBN Legal business name Reynolds, Edna Beth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2007
Last updated Nov 14th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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