Individual
JOSEPH REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
445 3RD AVE SW, ALBANY, OR 97321-2272
(541) 967-3866
Mailing address
3211 WILLETTA PL SW, ALBANY, OR 97321-3574
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0374
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T0374
LMFT
OR
Enumeration date
05/01/2007
Last updated
07/08/2007
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