Individual
KASSI HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 LAKESIDE CT STE 101, RENO, NV 89509-4862
(775) 786-6880
Mailing address
3500 LAKESIDE CT STE 101, RENO, NV 89509-4862
(775) 786-6880
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103K00000X
Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
09/11/2020
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