Individual
BOONYARIT GORSAKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3732 LAKESIDE DR STE 202, RENO, NV 89509-4519
(702) 277-1491
Mailing address
3732 LAKESIDE DR STE 202, RENO, NV 89509-4519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI5296
NV
Other
Enumeration date
12/15/2017
Last updated
12/03/2024
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