Individual
MRS. BRINN KATHLEEN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3500 LAKESIDE CT STE 101, RENO, NV 89509-4862
(775) 786-6880
(775) 786-6899
Mailing address
1355 BELFORD RD, RENO, NV 89509-3903
(775) 813-3224
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
01458
NV
Other
Enumeration date
06/21/2012
Last updated
07/21/2022
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