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Individual

LILEO T. SUNDERLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.F.T.

Contact information

Practice address
1191 HIGH SCHOOL ST # A, GARDNERVILLE, NV 89410-5376
(775) 783-1136
(775) 783-1136
Mailing address
PO BOX 2275, GARDNERVILLE, NV 89410-2275
(775) 783-1136
(775) 783-1136

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0673
NV
106H00000X
Marriage & Family Therapist
20395
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0673
MFT LICENSE
NV
01
20395
MFT LICENSE
CA
Enumeration date
11/24/2006
Last updated
05/10/2026
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