Organization
RED DOG COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE MCBRIDE MA, CDVC, PADC (OWNER/COUNSELOR)
(775) 636-3941
Entity
Organization
Contact information
Practice address
90 N MAINE ST, FALLON, NV 89406-2956
(775) 636-3941
Mailing address
583 PEACEFUL WAY, FALLON, NV 89406
(775) 636-3941
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
00569-P
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679815906
NPI
NV
Enumeration date
03/09/2016
Last updated
03/28/2016
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