Individual
KELLY LYNN PISTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8255 OPAL RANCH WAY, RENO, NV 89506-7789
(775) 305-7171
Mailing address
9350 DOUBLE R BLVD APT 4013, RENO, NV 89521-3845
(775) 502-7502
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00677-C
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
01275
NV
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/01/2012
Last updated
09/17/2024
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