NPI 1134713951 · live from the CMS NPI Registry
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Counselor, Professional in Reno, NV. National Provider Identifier 1134713951, active.
NPI record
| NPI | 1134713951 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 3708 Lakeside Dr Ste 101, Reno, NV 89509 |
| Practice phone | 775-786-2424 |
| Enumerated | February 23, 2021 |
| Last updated | February 23, 2021 |
| Authorized official | Alexandra Shrake, Lcpc |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.