Individual
DIANA MANCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
85 KIRMAN AVE STE 200, RENO, NV 89502
(775) 982-2862
(775) 982-2865
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6808-S
NV
1041C0700X
Clinical Social Worker
Primary
7443-C
NV
Other
Enumeration date
12/05/2014
Last updated
10/19/2018
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