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Organization
RUDOLPH VON RAVENSBERG
Active
Organization
RUDOLPH VON RAVENSBERG
Active
Other names
Great Basin Behavioral Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
RUDOLPH VON RAVENSBERG LMFT (PSYCHOTHERAPIST/OWNER)
(775) 232-0399
Entity
Organization
Contact information
Practice address
1325 AIRMOTIVE WAY, STE 175R, RENO, NV 89502-3275
(775) 453-4143
Mailing address
1325 AIRMOTIVE WAY, STE 175R, RENO, NV 89502-3275
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1098
NV
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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