Individual
KAYCI ITZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
850 MILL ST STE 100, RENO, NV 89502-1463
(775) 374-0335
Mailing address
1050 CONNOLLY DR APT 201, ELKO, NV 89801-7949
(775) 374-0335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6920-S
NV
Other
Enumeration date
09/10/2017
Last updated
09/10/2017
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