Individual
LEAH FELICE REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
413 N ALLUMBAUGH ST STE 101, BOISE, ID 83704-9219
(208) 323-1125
(208) 323-9604
Mailing address
413 N ALLUMBAUGH ST STE 101, BOISE, ID 83704-9219
(208) 323-1125
(208) 323-9604
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-3441
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010142204
REGENCE BLUE SHIELD
ID
05
—
002269500
—
ID
01
—
Q7395
BLUE CROSS
ID
Enumeration date
03/16/2007
Last updated
04/21/2021
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