Individual provider · Type 1 NPI

Naomi Reardon

Mental Health Counselor · Pocatello, ID

NPI number 1265862783 Active

Practice location

353 N 4th Ave, Ste 110
Pocatello, ID 83201-6390

Fax (208) 233-7835

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265862783

Naomi Reardon's National Provider Identifier is 1265862783, issued on Nov 19, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pocatello, ID. The record was last updated on Nov 19, 2013.