Individual
SAMUEL JOHN REIGHAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
304 E MAIN ST, NEW LONDON, IA 52645-1218
(319) 931-7169
Mailing address
502 S ELM ST, NEW LONDON, IA 52645-1639
(319) 931-9900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001377
IA
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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