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Individual

KATHLEEN BERNACHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 FRANKIE ST, TONOPAH, NV 89049
(775) 482-9884
Mailing address
PO BOX 1225, TONOPAH, NV 89049-1225

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
007520-2015
FL
104100000X
Social Worker
Primary
7275-S
NV

Other

Enumeration date
10/04/2018
Last updated
10/04/2018
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