# CARSON CITY COMMUNITY COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023885118
- **Authorized official:** DEANNA JANELL TORRES (BILLING MANAGER)
- **Authorized official phone:** (775) 882-3945

## Contact information

- **Practice address:** 1482 US HIGHWAY 395 N, GARDNERVILLE, NV 89410-5208
- **Practice address phone:** (775) 882-3945
- **Practice address fax:** (775) 882-6126
- **Mailing address:** 205 S PRATT AVE, CARSON CITY, NV 89701-4730
- **Mailing address phone:** (775) 882-3945
- **Mailing address fax:** (775) 882-6126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 12/07/2023
- **Last updated:** 12/08/2023