Individual
VICKI MARIA LILLEGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LACADC, LMFT
Contact information
Practice address
PYRAMID LAKE TRIBAL HEALTH CLINIC, 705 HIGHWAY 446, NIXON, NV 89424-8942
(775) 574-1018
(775) 574-1028
Mailing address
5187 ORINDA DR, SPARKS, NV 89436-3615
(775) 626-8245
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00577-LC
NV
106H00000X
Marriage & Family Therapist
Primary
2704
NV
Other
Enumeration date
04/10/2008
Last updated
04/02/2021
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