Organization
MOUNTAIN EMPLOYEE ASSISTANCE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK EVARTS PH.D. (PRESIDENT, CLINICAL DIRECTOR)
(775) 322-6066
Entity
Organization
Contact information
Practice address
1091 HASKELL STREET, RENO, NV 89509
(775) 322-6066
(775) 322-6566
Mailing address
1091 HASKELL STREET, RENO, NV 89509
(775) 322-6066
(775) 322-6566
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY044
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002616023
—
NV
Enumeration date
02/22/2008
Last updated
09/05/2012
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