Provider Demographics
NPI:1346726304
Name:REYNOLDS, JAMES DAVID (LPC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:DAVID
Last Name:REYNOLDS
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:29318 ANGELFISH BLVD
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-3161
Mailing Address - Country:US
Mailing Address - Phone:432-528-2111
Mailing Address - Fax:325-271-5887
Practice Address - Street 1:29318 ANGELFISH BLVD
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-3161
Practice Address - Country:US
Practice Address - Phone:432-528-2111
Practice Address - Fax:325-271-5887
Is Sole Proprietor?:No
Enumeration Date:2018-07-12
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75845101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional