| Doctor Name: | MR. MARCOS REYNA |
| NPI Number: | 1275884785 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LLMHC |
| License Number: | P84090 |
| Business Practice Address: | 125 Chaparral Blvd. Nw Deming, NM - 88030 |
| Business Phone Number: | 5755464800 |
| Business Fax Number: | 5755460685 |
| Mailing Address: | Po Box 370, HATCH |
| State: | NM |
| Postal Code: | 879370370 |
| Phone Number: | 5752673280 |
| Fax Number: | 5752671747 |
| NPI Enumeration Date: | 09/24/2012 |
| NPI Last Update Date: | 06/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | P84090 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |