Organization
RENGADE COUNSELING ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLA ANN RUSH MS, LADC (CLINICAL DIRECTOR/PARTNER)
(775) 348-4900
Entity
Organization
Contact information
Practice address
527 HUMBOLDT ST, RENO, NV 89509-1603
(775) 348-4900
(774) 348-4922
Mailing address
527 HUMBOLDT STREET, RENO, NV 89509
(775) 348-4900
(774) 348-4922
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20151739907
NV
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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