Individual provider · Type 1 NPI

Lisa B. Dettelback, MFT

Mental Health Counselor · Reno, NV

NPI number 1659159457 Active

Practice location

95 La Rue Ave
Reno, NV 89509-2820

Call (775) 781-3760 Map

Mailing address

2307 Millville Dr
Sparks, NV 89441-7319

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4651 (NV)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1659159457

Lisa B. Dettelback, MFT's National Provider Identifier is 1659159457, issued on Sep 21, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Reno, NV. The record was last updated on Sep 21, 2023.