Individual
TARA REILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
130 N 1ST W, RIGBY, ID 83442-1377
(208) 351-5539
Mailing address
3794 E 400 N, RIGBY, ID 83442-5432
(208) 695-4740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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