Organization
EDWARDS AND VON RAVENSBERG, PROF. LLC
Active
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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