Individual
MRS. KELLY EDMUNDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 W MOANA LN STE 2, RENO, NV 89509-4734
(775) 337-2394
(775) 337-9570
Mailing address
2286 WESTFIELD AVE, RENO, NV 89509-1822
(775) 720-7331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
M10481
NV
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
12/14/2011
Last updated
01/08/2014
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