Individual
LISA CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 HARVARD WAY APT 114, RENO, NV 89502-2001
(775) 685-4538
Mailing address
1001 HARVARD WAY APT 114, RENO, NV 89502-2001
(775) 685-4538
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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