Individual
MR. KRISTOPHER LEE KOMAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
783 BASQUE WAY STE 110, CARSON CITY, NV 89706-7981
(775) 400-2996
(866) 244-3992
Mailing address
316 GOLDEN PICK DR, DAYTON, NV 89403-7412
(775) 246-0752
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6832-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6832-C
PROFESSIONAL LICENSE
NV
Enumeration date
08/21/2012
Last updated
07/21/2022
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