Great Basin Behavioral Health And Wellness | |
1325 Airmotive Way Ste 175r Reno NV 89502-3275 | |
(775) 453-4143 | |
Not Available |
Full Name | Great Basin Behavioral Health And Wellness |
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Speciality | Marriage & Family Therapist |
Location | 1325 Airmotive Way, Reno, Nevada |
Authorized Official Name and Position | Rudolph Von Ravensberg (PSYCHOTHERAPIST/OWNER) |
Authorized Official Contact | 7752320399 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Great Basin Behavioral Health And Wellness 1325 Airmotive Way Ste 175r Reno NV 89502-3275 Ph: () - | Great Basin Behavioral Health And Wellness 1325 Airmotive Way Ste 175r Reno NV 89502-3275 Ph: (775) 453-4143 |
NPI Number | 1093131948 |
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Provider Enumeration Date | 03/14/2014 |
Last Update Date | 03/14/2014 |
Identifier | Type | State | Issuer |
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1093131948 | NPI | - | NPPES |
1184822520 | Other | NPI |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | 1098 (Nevada) | Primary |
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