SearchMinnesota1041C0700X

Gregory Reynolds, LICSW, LADC

NPI 1760750921 · on the registry since 2011

Practice

Address
451 Lexington Pkwy N
Saint Paul, MN 55104
Phone
(651) 280-2310
Fax
(651) 280-3995
Organisation at this address
Fairview Clinics
Amherst H. Wilder Foundation
Amherst H. Wilder Foundation
Amherst H. Wilder Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
91

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
101YA0400X
Licence states on file
NY, MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota