Organization · Type 2 NPI

ST Huerta Four Square Clinicals Professional Corporation

Addiction Medicine (Psychiatry & Neurology) Physician · Reno, NV

NPI number 1154196632 Active

Practice location

100 N Arlington Ave Ste 340A
Reno, NV 89501-1248

Fax (844) 872-5607

Mailing address

650 N Rose Dr Ste 472
Placentia, CA 92870-7513

Other practice locations

  • 2017 Pinto Ln, Las Vegas, NV 89106-4018 · (775) 238-3082

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

2 other providers at this address

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About NPI 1154196632

ST Huerta Four Square Clinicals Professional Corporation's National Provider Identifier is 1154196632, issued on Nov 15, 2023. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Reno, NV. The record was last updated on Apr 13, 2026.