Reynolds, Courtney Vincent
Reynolds, Courtney Vincent is an individual health care provider with primary practice located at 536 Signal Hill Drive Ext , Statesville NC 28625-4391. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Reynolds, Courtney Vincent can be contacted via phone (704) 872-0234.Contact Information
Primary practice address
536 Signal Hill Drive Ext
Statesville NC 28625-4391
Phone: (704) 872-0234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1710171103 |
|---|---|
| LBN Legal business name | Reynolds, Courtney Vincent |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2007 |
| Last updated | Jul 3rd, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710171103 | NPPES |
| North Carolina | MEDICAID | 6103961 |
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