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TINA MARIE REYNOLDS
NPI 1295918050
Counselor - Addiction (Substance Use Disorder) in Azusa, CA

Active since December 14, 2007
23701 E EAST FORK RD, AZUSA, CA 91702(626) 910-1202 Get Directions Write a Review

NPPES record last updated: December 14, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tina Marie Reynolds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINA MARIE REYNOLDS (NPI 1295918050) is an individual addiction (substance use disorder) provider in Azusa, California and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1295918050
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTINA MARIE REYNOLDS
Location Address23701 E EAST FORK RDAzusa, CA 91702-1477
Mailing Address16751 E Gragmont StCovina, CA 91722-1116 · (626) 858-0099
Phone(626) 910-1202
Sole ProprietorNo
Enumeration DateDecember 14, 2007
✔ NPI 1295918050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
23701 E EAST FORK RD, Azusa, CA 91702
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLA DOSS
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3300
MARY B SHARON
Licensed Psychiatric Technician
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 910-1202
ALAN SAUBERT
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3300
SHEELA SURAPANENI M.D.
Psychiatry & Neurology (Addiction Psychiatry)
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 910-1202
NORMA KATHRYN LOPEZ
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3300
KAMRAN MAHMOOD
Licensed Vocational Nurse
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 910-1202
DEBORAH SUE HAWTHORNE
Counselor (Addiction (Substance Use Disorder))
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 910-1202
CHRISTINA PAYNE
Licensed Psychiatric Technician
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 910-1202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Reynolds's NPI number?

The NPI number for Tina Reynolds is 1295918050. It was assigned to this individual provider in the NPPES registry on December 14, 2007.

Where is Tina Reynolds located?

Tina Reynolds practices at 23701 E East Fork Rd, Azusa, CA 91702. The listed phone number is (626) 910-1202.

What is Tina Reynolds's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tina Reynolds was last updated on December 14, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.