Individual
DR. JACK RICHARD ARAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
309 EAST JOHN ST. STE #1, CARSON CITY, NV 89706
(775) 885-0206
(775) 883-2720
Mailing address
309 EAST JOHN ST. STE #1, CARSON CITY, NV 89706
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
96
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2613002
—
NV
Enumeration date
05/01/2007
Last updated
07/08/2007
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