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NPI Code Detail

MEDICARE: COLLEEN MARY MCKINSTRIE MFT

MEDICARE: COLLEEN MARY MCKINSTRIE MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2106H00000XMarriage & Family TherapistM14233NV

General Provider Information

NPI Number : 1376262675
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN MARY MCKINSTRIE MFT
Provider Business Mailing Address
First Line : 2655 ENTERPRISE RD
Second Line :
City : RENO
State : NV
Zip : 89512-1666
Country : US
Telephone Number : 775-688-2427
Fax Number :
Provider Business Practice Location Address
First Line : 2655 ENTERPRISE RD
Second Line :
City : RENO
State : NV
Zip : 89512-1666
Country : US
Telephone Number : 775-688-2427
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2022
Last Update Date : 12/01/2025

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Directions to “ COLLEEN MARY MCKINSTRIE MFT” Practice Location

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