Individual
ANGELA M REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTER SOCIAL WORK
Contact information
Practice address
118 9TH AVE N, TWIN FALLS, ID 83301-6352
(208) 969-4200
(208) 556-7546
Mailing address
118 9TH AVE N, TWIN FALLS, ID 83301-6352
(208) 969-4200
(208) 556-7546
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9361579
ID
103K00000X
Behavior Analyst
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114570363
—
ID
05
—
1407648017
—
ID
Enumeration date
07/17/2019
Last updated
11/22/2025
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