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Individual

JODI LYNN FENNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NBHWC

Contact information

Practice address
10345 PROFESSIONAL CIR STE 125, RENO, NV 89521-3100
(775) 332-8332
Mailing address
PO BOX 2743, CARSON CITY, NV 89702-2743
(775) 293-8669

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
171400000X
Health & Wellness Coach
820212926
NV

Other

Enumeration date
07/25/2012
Last updated
01/06/2025
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