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Organization

COMMUNITY CHEST, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ADRIENNE PATRICIA SUTHERLAND MA, LCPC, LCADC (CLINICAL DIRECTOR/THERAPIST)
(775) 847-0414
Entity
Organization

Contact information

Practice address
175 EAST CARSON STREET, SUITE A, VIRGINIA CITY, NV 89440
(775) 847-0414
(775) 847-9335
Mailing address
PO BOX 980, 175 EAST CARSON STREET, VIRGINIA CITY, NV 89440
(775) 847-0414
(775) 848-9335

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV19911013020
NV

Other

Enumeration date
01/25/2016
Last updated
01/25/2016
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