NPI 1477793214 · live from the CMS NPI Registry
Jacky Ahdunko
Counselor, Mental Health in Reno, NV. National Provider Identifier 1477793214, active.
NPI record
| NPI | 1477793214 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 335 Record St., Suite 155, Reno, NV 89512 |
| Practice phone | 775-324-2622 |
| Mailing address | Po Box 209, Reno, NV 89504 |
| Enumerated | March 5, 2009 |
| Last updated | March 5, 2009 |
| Sole proprietor | No |
| Other names | Jacky Moses |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.