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Individual

TERRIE LYNN VELASQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
4773 CAUGHLIN PKWY, SUITE 2, RENO, NV 89519-1011
(775) 677-2216
(775) 322-4460
Mailing address
4773 CAUGHLIN PKWY, SUITE 2, RENO, NV 89519-1011
(775) 677-2216
(775) 322-4460

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
700
NV
172V00000X
Community Health Worker
700
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100510431
NV
Enumeration date
03/20/2007
Last updated
07/23/2014
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