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Individual

JOEL CHRISTOPHER LIZAMA BENAVENTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, LMSW

Contact information

Practice address
1905 E 4TH ST, RENO, NV 89512-3789
(775) 786-4673
Mailing address
11380 S VIRGINIA ST APT 2234, RENO, NV 89511-9044
(702) 300-7582

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10814-C
NV

Other

Enumeration date
06/04/2021
Last updated
11/13/2025
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