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1659071330
REYSAN R COTTON
MOUNTAIN HOME, ID
NPI
1659071330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-9351)
Enumeration Date
2023-03-09
Last Update Date
2023-03-09
Business Address
REYSAN R COTTON LPC
1815 AMERICAN LEGION BLVD STE A
MOUNTAIN HOME, ID 83647-3166
Phone number: 208-590-1262
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Mailing Address
REYSAN R COTTON LPC
1243 NW BEAMAN ST
MOUNTAIN HOME, ID 83647-5190
Phone number: 208-409-7122
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