Individual
REYSAN R COTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1815 AMERICAN LEGION BLVD STE A, MOUNTAIN HOME, ID 83647-3166
(208) 590-1262
(208) 277-1342
Mailing address
1243 NW BEAMAN ST, MOUNTAIN HOME, ID 83647-5190
(208) 409-7122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-9351
ID
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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