Organization
RUDOLPH VON RAVENSBERG
Active
Other names
Great Basin Behavioral Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
RUDOLPH VON RAVENSBERG LMFT (PSYCHOTHERAPIST/OWNER)
(775) 232-0399
Entity
Organization
Contact information
Practice address
1325 AIRMOTIVE WAY, STE 175R, RENO, NV 89502-3275
(775) 453-4143
Mailing address
1325 AIRMOTIVE WAY, STE 175R, RENO, NV 89502-3275
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1098
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184822520
NPI
—
Enumeration date
03/14/2014
Last updated
03/14/2014
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