Individual
MS. MARY MINTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1005 FOREST ST, RENO, NV 89509-2706
(775) 329-4582
(775) 329-9943
Mailing address
1211 CHARLES DR, RENO, NV 89509-2411
(775) 329-4582
(775) 329-9943
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00446-I
NV
106H00000X
Marriage & Family Therapist
Primary
M10068
NV
Other
Enumeration date
11/06/2009
Last updated
09/12/2012
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