| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JILLIAN RANEE REYNOLDS | 1992432108 | 2022-08-07 |
Jillian Ranee Reynolds is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1992432108. Registration indicates Jillian Ranee Reynolds is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, ) Access to Substance Use Disorder Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Jillian Ranee Reynolds LCAS |
| Practice Office Address | 77 CENTRAL AVE STE A ASHEVILLE, NC US |
| Practice Office Telephone | 8287782973 |
| Practice Office Fax | 7653924263 |
| Mailing Address | 714 NEWFOUND RD LEICESTER, NC 287489770 US |
| Business Telephone | 8287767824 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 714 Newfound Rd | Leicester, NC 287489770 | 8287767824 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | |
| 101YA0400X PRIMARY | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor | 26741
NC |