Provider Demographics
NPI:1215615547
Name:REYNA, JONI REBECCA (CSW)
Entity type:Individual
Prefix:
First Name:JONI
Middle Name:REBECCA
Last Name:REYNA
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:JONI
Other - Middle Name:REBECCA
Other - Last Name:WALLENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:REGIONAL HEALTH COMMAND, UNIT 294921
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:DE
Mailing Address - Zip Code:09136
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:REGIONAL HEALTH COMMAND EUROPE, UNIT 29421
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09136
Practice Address - Country:DE
Practice Address - Phone:314-590-1121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099293701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical