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Organization

RENO-SPARKS CLINIC HEALTH

Active
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Organization

RENO-SPARKS CLINIC HEALTH

Active
Other names
Behavioral Health
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TARA VAN ORDEN DMD, MPH (CHIEF DENTAL OFFICER)
(775) 329-5162
Entity
Organization

Contact information

Practice address
1715 KUENZLI ST, RENO, NV 89502-1117
(775) 329-5162
Mailing address
1715 KUENZLI ST, RENO, NV 89502-1117
(775) 329-5162

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—

Other

Enumeration date
02/07/2023
Last updated
02/07/2023
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