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Organization

RUBY VISTA THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACEY KOCH LCSW (LICENSED CLINICAL SOCIAL WORKER)
(775) 389-2700
Entity
Organization

Contact information

Practice address
401 RAILROAD ST STE 406, ELKO, NV 89801-3727
(775) 389-2700
Mailing address
PO BOX 2222, ELKO, NV 89803-2222

Taxonomy

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

Other

Enumeration date
02/24/2020
Last updated
02/24/2020
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