Provider Demographics
NPI:1992857288
Name:REIFERS, THOMAS J (MS LPC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:J
Last Name:REIFERS
Suffix:
Gender:M
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59903
Mailing Address - Country:US
Mailing Address - Phone:406-755-3164
Mailing Address - Fax:
Practice Address - Street 1:690 N MERIDIAN RD
Practice Address - Street 2:SUITE 217 A MERIDIAN OFFICE COMPLEX
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901
Practice Address - Country:US
Practice Address - Phone:406-755-3164
Practice Address - Fax:406-755-3164
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT351101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health