Individual
MAXWELL REAS ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1820 E 17TH ST STE 355, IDAHO FALLS, ID 83404-6453
(208) 497-0685
(208) 497-0239
Mailing address
965 SYRINGA DR, IDAHO FALLS, ID 83401-4019
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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