Organization
JACKALOPE HOLISTIC HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENI SEXTON LCSW (BUSINESS OWNER)
(775) 453-0743
Entity
Organization
Contact information
Practice address
1005 FOREST ST, RENO, NV 89509-2706
(775) 453-0743
(775) 329-9943
Mailing address
1005 FOREST ST, RENO, NV 89509-2706
(775) 453-0743
(775) 329-9943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831593409
NPI
NV
Enumeration date
03/18/2024
Last updated
03/18/2024
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