Individual
NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 W MOANA LN, RENO, NV 89509-4775
(775) 337-2394
Mailing address
1130 BUENA VISTA AVE, RENO, NV 89503-3049
(775) 335-5785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
11/08/2013
Last updated
06/05/2015
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