Organization
EDWARDS AND VON RAVENSBERG, PROF. LLC
Active
Other names
Great Basin Behavioral Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
RUDOLPH VON RAVENSBERG MA (OWNER/PSYCHOTHERAPIST)
(775) 453-4143
Entity
Organization
Contact information
Practice address
1325 AIRMOTIVE WAY, STE 100, RENO, NV 89502-3201
(775) 453-4143
(775) 996-5616
Mailing address
1325 AIRMOTIVE WAY, STE 100, RENO, NV 89502-3201
(775) 453-4143
(775) 996-5616
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV MFT 1098
NV
Other
Enumeration date
06/05/2014
Last updated
12/06/2015
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