Organization
STILLWATER CENTER FOR FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL JUUL (LICXENSED CLINICAL SOCIAL WORKER)
(775) 867-4123
Entity
Organization
Contact information
Practice address
158 S TAYLOR ST, FALLON, NV 89406-3261
(775) 867-4123
(775) 867-4914
Mailing address
PO BOX 370, FALLON, NV 89407-0370
(775) 867-4123
(775) 867-4914
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0436
NV
1041C0700X
Clinical Social Worker
2940-C
NV
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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