Individual
MS. E. JUANITA CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT, LADC
Contact information
Practice address
65 REGENCY WAY, SUITE C, RENO, NV 89509
(775) 412-8713
Mailing address
11785 HEARTPINE, RENO, NV 89506
(775) 412-8713
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00987-I
NV
106H00000X
Marriage & Family Therapist
Primary
1066
NE
106H00000X
Marriage & Family Therapist
R05389
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100511800
—
NV
Enumeration date
04/04/2007
Last updated
11/12/2009
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