Reynolds, Nicholas Jon
Reynolds, Nicholas Jon is an individual health care provider with primary practice located at 11100 San Pablo Ave , El Cerrito CA 94530-2194. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Reynolds, Nicholas Jon can be contacted via phone (510) 525-6225.Contact Information
Primary practice address
11100 San Pablo Ave
El Cerrito CA 94530-2194
Phone: (510) 525-6225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1275076937 |
|---|---|
| LBN Legal business name | Reynolds, Nicholas Jon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2016 |
| Last updated | Mar 17th, 2018 - about 8 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.
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