Individual
JENNIFER LESLIE BAUMGARTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW-INTERN
Contact information
Practice address
2840 SANDESTIN DR, RENO, NV 89523-2135
(775) 800-1136
Mailing address
2840 SANDESTIN DR, RENO, NV 89523-2135
(775) 800-1136
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172V00000X
—
NV
Enumeration date
02/06/2023
Last updated
06/15/2024
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