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NPI Code Detail

MEDICARE: REESE RICHMOND LPC

MEDICARE: REESE RICHMOND LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor8481414ID

General Provider Information

NPI Number : 1518899574
Entity Type Code : Individual
Provider Name (Legal Business Name) : REESE RICHMOND LPC
Provider Business Mailing Address
First Line : 1210 S ABBS ST
Second Line :
City : BOISE
State : ID
Zip : 83705-2435
Country : US
Telephone Number : 916-267-8791
Fax Number :
Provider Business Practice Location Address
First Line : 5418 N EAGLE RD STE 160
Second Line :
City : BOISE
State : ID
Zip : 83713-0100
Country : US
Telephone Number : 512-489-9723
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ REESE RICHMOND LPC” Practice Location

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