IndividualActive
Jadi Reynolds, LAC
NPI 1144940917 · Addiction (Substance Use Disorder) Counselor · Keller, WA
Provider details
- NPI number
- 1144940917
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- No
- License
- 50568 (MT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
11614 S Highway 21
Keller, WA 99140-9537
Phone: (509) 634-2050
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 150
Nespelem, WA 99155-0150
Registry dates
- Enumerated
- 2022-08-31
- Last updated
- 2022-08-31
- Certified
- 2022-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.