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Individual

MR. BODIE WARD COATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT-S, LCADC, NCC

Contact information

Practice address
769 BASQUE WAY STE 800, CARSON CITY, NV 89706-7934
(775) 434-8418
Mailing address
769 BASQUE WAY STE 800, CARSON CITY, NV 89706-7934
(775) 434-8418

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
01565-L
NV
106H00000X
Marriage & Family Therapist
Primary
01312
NV

Other

Enumeration date
11/19/2012
Last updated
03/08/2023
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