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Organization

ST HUERTA FOUR SQUARE CLINICALS PROFESSIONAL CORPORATION

Active
Other names
Four Square Clinicals
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN THOMAS HUERTA DNP, PMHNP-BC (CLINICAL DIRECTOR)
(775) 238-3082
Entity
Organization

Contact information

Practice address
100 N ARLINGTON AVE STE 340A, RENO, NV 89501-1248
(775) 238-3082
(844) 872-5607
Mailing address
650 N ROSE DR STE 472, PLACENTIA, CA 92870-7513
(775) 238-3082
(844) 872-5607

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
11/15/2023
Last updated
04/13/2026
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