Individual
MS. JUDITH PRIMM-SHIMAHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT, LADC
Contact information
Practice address
85 KIRMAN AVE, RENO, NV 89502
(775) 982-2862
(775) 982-2865
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
689L
NV
106H00000X
Marriage & Family Therapist
Primary
0685
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0685
MFT
NV
01
—
0689-L
LADC
NV
Enumeration date
02/13/2007
Last updated
10/26/2018
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