Organization
JULIE A REYNOLDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE ANN REYNOLDS LCPC (CEO)
(210) 685-8974
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/13/2025
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