Full Name | |
---|---|
Speciality | Counselor - Mental Health |
Location | 790 Willow St, Reno, Nevada |
Authorized Official Name and Position | Frances Malinis (COMPLIANCE DIRECTOR) |
Authorized Official Contact | 7024107825 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
790 Willow St Reno NV 89502-1304 Ph: () - | 790 Willow St Reno NV 89502-1304 Ph: (775) 538-6700 |
NPI Number | 1073054110 |
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Provider Enumeration Date | 03/08/2017 |
Last Update Date | 03/08/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073054110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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