MEDICARE: TASHINA ROSE SALAS

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1972979821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TASHINA ROSE SALAS

Provider Business Mailing Address
First Line	:	1635 PAKWE LN
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89510-9231
Country	:	US
Telephone Number	:	775-842-5043
Fax Number	:

Provider Business Practice Location Address
First Line	:	704 MILL ST
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-1321
Country	:	US
Telephone Number	:	775-954-1400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2015
Last Update Date	:	01/27/2026

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Directions to “ TASHINA ROSE SALAS ” Practice Location

Language	Start Address	Practice Location

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