Individual
RAUL MAZARIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-1633
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-1633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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