Individual
GERALD LEE REESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
608 S DIVISION AVE, SANDPOINT, ID 83864-1749
(208) 265-5049
Mailing address
608 S DIVISION AVE, SANDPOINT, ID 83864-1749
(208) 265-5049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00004142
WA
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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