Individual
MS. JULIE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LMHC
Contact information
Practice address
112 W 4TH ST STE 5, MOSCOW, ID 83843-4311
(210) 685-8974
(208) 883-4845
Mailing address
220 E 5TH ST UNIT 8083, MOSCOW, ID 83843-2943
(210) 685-8974
(208) 883-4845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60671311
WA
101YP2500X
Professional Counselor
Primary
6691
ID
Other
Enumeration date
07/27/2015
Last updated
12/30/2024
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