BLAINE COLIN REILLY

MERIDIAN, ID
NPI1275712481
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  4470)
Enumeration Date2007-10-24
Last Update Date2024-02-16
Business Address
Mr. BLAINE COLIN REILLY LCPC
2971 E COPPER POINT DR STE 100
MERIDIAN, ID 83642-9276
Phone number: 208-376-5683
Mailing Address
Mr. BLAINE COLIN REILLY LCPC
4048 S IRIONDO WAY
BOISE, ID 83706-5784
Phone number:
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