MR. MCKINLEY REYNOLDS JR.
NPI 1356588552
Counselor - Addiction (Substance Use Disorder) in Antioch, CA
Active since January 10, 2009
About Mr. Mckinley Reynolds Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MCKINLEY REYNOLDS JR. (NPI 1356588552) is an individual addiction (substance use disorder) provider in Antioch, California and active in the NPI registry since January 2009.
NPPES Registry Identity
NPI1356588552
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MCKINLEY REYNOLDS JR.
Location Address1915 D STAntioch, CA 94509-2571
Mailing Address1915 D StAntioch, CA 94509-2571 · (925) 754-3673 · Fax (925) 754-2002
Phone(925) 754-3673
Fax(925) 754-2002
Sole ProprietorYes
Enumeration DateJanuary 10, 2009
✔ NPI 1356588552 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
1915 D ST, Antioch, CA 94509
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356588552, enumerated as an "individual" on January 10, 2009.
The provider is located at 1915 D ST ANTIOCH, CA 94509 and the phone number is (925) 754-3673.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
