THEO REYNOLDS

OAKLAND, CA
NPI1053269936
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C5658)
Enumeration Date2026-03-17
Last Update Date2026-03-17
Business Address
THEO REYNOLDS
6810 BROADWAY TER
OAKLAND, CA 94611-1907
Phone number: 408-623-1970
Mailing Address
THEO REYNOLDS
6810 BROADWAY TER
OAKLAND, CA 94611-1907
Phone number: 408-623-1970
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