Julie Reynolds Llc | |
112 W 4th St Ste 5 Moscow ID 83843-4311 | |
(210) 685-8974 | |
(208) 883-4845 |
Full Name | Julie Reynolds Llc |
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Speciality | Counselor - Mental Health |
Location | 112 W 4th St Ste 5, Moscow, Idaho |
Authorized Official Name and Position | Julie Ann Reynolds (CEO) |
Authorized Official Contact | 2106858974 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Julie Reynolds Llc Po Box 8083 Moscow ID 83843-0583 Ph: (210) 685-8974 | Julie Reynolds Llc 112 W 4th St Ste 5 Moscow ID 83843-4311 Ph: (210) 685-8974 |
NPI Number | 1962273870 |
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Provider Enumeration Date | 01/10/2024 |
Last Update Date | 01/10/2024 |
Certification Date | 01/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962273870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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