Individual
MICHAEL REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8050 W RIFLEMAN ST # 100, BOISE, ID 83704-9000
(208) 321-0634
(208) 321-1082
Mailing address
8050 W RIFLEMAN ST # 100, BOISE, ID 83704-9000
(208) 321-0634
(208) 321-1082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4410
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002803300
—
ID
Enumeration date
11/02/2009
Last updated
11/02/2009
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