Individual
SOMAKHANDEN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MI4032 AND CI5055
Contact information
Practice address
695 SIERRA ROSE DR, RENO, NV 89511-2060
(774) 453-4143
Mailing address
695 SIERRA ROSE DR, RENO, NV 89511-2060
(775) 453-4143
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CI5055
NV
106H00000X
Marriage & Family Therapist
727-228
WI
106H00000X
Marriage & Family Therapist
Primary
MI4032
NV
Other
Enumeration date
01/03/2017
Last updated
05/20/2022
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