Individual
JASON RUSSELL BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 AIRMOTIVE WAY STE 240, RENO, NV 89502-3284
(775) 737-9001
Mailing address
6738 COYOTE CALL TRL, SPARKS, NV 89436-3757
(775) 830-1764
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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