Individual
BRIDGETTE DEBOER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1422 MISSION ST, GARDNERVILLE, NV 89410-5239
(775) 782-4202
(775) 782-5055
Mailing address
1446 SALLY LN, GARDNERVILLE, NV 89460-8240
(775) 450-6632
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00854
NV
101YM0800X
Mental Health Counselor
MI0334
NV
Other
Enumeration date
01/26/2013
Last updated
01/26/2013
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