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Organization
ST HUERTA FOUR SQUARE CLINICALS PROFESSIONAL CORPORATION
Active
Organization
ST HUERTA FOUR SQUARE CLINICALS PROFESSIONAL CORPORATION
Active
Other names
Four Square Clinicals
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN THOMAS HUERTA DNP, PMHNP-BC (CLINICAL DIRECTOR)
(775) 238-3082
Entity
Organization
Contact information
Practice address
100 N ARLINGTON AVE STE 340A, RENO, NV 89501-1248
(775) 238-3082
(844) 872-5607
Mailing address
650 N ROSE DR STE 472, PLACENTIA, CA 92870-7513
(775) 238-3082
(844) 872-5607
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
11/15/2023
Last updated
04/13/2026
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