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1710010970
TODD REYNOLDS
LOUISVILLE, KY
NPI
1710010970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 165379)
Enumeration Date
2007-03-14
Last Update Date
2016-06-29
Business Address
-- TODD REYNOLDS LCADC
600 S PRESTON ST
LOUISVILLE, KY 40202-1716
Phone number: 502-583-3951
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Mailing Address
-- TODD REYNOLDS LCADC
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number: 502-589-8600
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