Individual
TINA MARIE BISIAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LADC-S
Contact information
Practice address
145 W 3RD ST, BATTLE MOUNTAIN, NV 89820-1970
(775) 635-9235
(775) 635-9235
Mailing address
PO BOX 652, BATTLE MOUNTAIN, NV 89820-0652
(775) 635-9235
(775) 635-9235
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1781G
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1244L
NV
Other
Enumeration date
09/06/2012
Last updated
04/25/2017
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