Organization
COATES & DORAN, PLLC
Active
Other names
Sandstone Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BODIE WARD COATES MFT, LADC (OWNER)
(775) 450-7414
Entity
Organization
Contact information
Practice address
1812 MARIAN AVE, CARSON CITY, NV 89706-2632
(775) 450-7414
Mailing address
2602 BLUE HAVEN LN, CARSON CITY, NV 89701-4850
(775) 450-7414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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