| Doctor Name: | MS. SHERRILL LYNN REYNOLDS |
| NPI Number: | 1265566285 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 081857 |
| Business Practice Address: | 41945 Big Bear Blvd Suite #227 Big Bear Lake, CA - 92315 |
| Business Phone Number: | 9097327448 |
| Business Fax Number: | 9095849018 |
| Mailing Address: | Po Box 794, BIG BEAR CITY |
| State: | CA |
| Postal Code: | 923140794 |
| Phone Number: | 9097327448 |
| Fax Number: | |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 03/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 081857 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |