| Doctor Name: | DR. SHAUNA MOORE REYNOLDS |
| NPI Number: | 1477809119 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ED.D.,NCC,LPC, LCPC |
| License Number: | LC4866 |
| Business Practice Address: | 15304 Spencerville Ct Suite 201 Burtonsville, MD - 208661654 |
| Business Phone Number: | 2403891487 |
| Business Fax Number: | 2403891463 |
| Mailing Address: | 15304 Spencerville Ct, Suite 201 BURTONSVILLE |
| State: | MD |
| Postal Code: | 208661654 |
| Phone Number: | 2403891487 |
| Fax Number: | 2403891463 |
| NPI Enumeration Date: | 07/31/2012 |
| NPI Last Update Date: | 05/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LC4866 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |