# GREAT BASIN THERAPY AND RESOURCES

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

## Provider details

- **NPI number:** 1275215204
- **Authorized official:** SHANNON M REBIEJO LCSW (SOLE MEMBER)
- **Authorized official phone:** (775) 225-9337

## Contact information

- **Practice address:** 5150 MAE ANNE AVENUE STE 405 \#5228, RENO, NV 89523-8952
- **Practice address phone:** (775) 225-9337
- **Mailing address:** 5150 MAE ANNE AVENUE STE 405 \#5228, RENO, NV 89523
- **Mailing address phone:** (775) 225-9337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/01/2023
- **Last updated:** 08/01/2023