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3732 Lakeside Avenue Suite 202 Reno NV 89509-8950 | |
| (320) 905-4345 | |
| (320) 905-4345 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3732 Lakeside Avenue, Reno, Nevada |
| Authorized Official Name and Position | Sabrina Lere (OFFICE MANAGER) |
| Authorized Official Contact | 3209054345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2120 60th Ave Ne Willmar MN 56201-9140 Ph: (320) 905-4345 | 3732 Lakeside Avenue Suite 202 Reno NV 89509-8950 Ph: (320) 905-4345 |
| NPI Number | 1821518929 |
|---|---|
| Provider Enumeration Date | 06/21/2017 |
| Last Update Date | 01/21/2022 |
| Certification Date | 01/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821518929 | NPI | - | NPPES |
| 1881936284 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC0150 (Nevada) | Primary |
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