Organization
THE BRIDGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC C DEAL M.A. (CHEIF EXECUTIVE OFFICER)
(775) 857-2999
Entity
Organization
Contact information
Practice address
1201 CORPORATE BLVD, SUITE 100, RENO, NV 89502
(775) 857-2999
(775) 857-2998
Mailing address
1201 CORPORATE BLVD, SUITE 100, RENO, NV 89502
(775) 857-2999
(775) 857-2998
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00987-I
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
01015-I
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
1104 I
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
410
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
625
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
747
NV
104100000X
Social Worker
714P-S
NV
1041C0700X
Clinical Social Worker
2815-C
NV
106H00000X
Marriage & Family Therapist
Primary
0370
NV
106H00000X
Marriage & Family Therapist
R05380
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510921
—
NV
05
—
100510922
—
NV
Enumeration date
02/21/2007
Last updated
09/18/2009
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