Organization
CARSON CITY COMMUNITY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA JANELL TORRES (BILLING MANAGER)
(775) 882-3945
Entity
Organization
Contact information
Practice address
1482 US HIGHWAY 395 N, GARDNERVILLE, NV 89410-5208
(775) 882-3945
(775) 882-6126
Mailing address
205 S PRATT AVE, CARSON CITY, NV 89701-4730
(775) 882-3945
(775) 882-6126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/07/2023
Last updated
12/08/2023
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