Healthcare Provider Details

I. General information

NPI: 1336339282
Provider Name (Legal Business Name): WESTSIDE CENTER FOR COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2007
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S MINNESOTA ST
CARSON CITY NV
89703-4269
US

IV. Provider business mailing address

205 S MINNESOTA ST
CARSON CITY NV
89703-4269
US

V. Phone/Fax

Practice location:
  • Phone: 775-882-0687
  • Fax: 775-882-9043
Mailing address:
  • Phone: 775-882-0687
  • Fax: 775-882-9043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CAROL J AALBERS
Title or Position: OWNER
Credential: PH.D.
Phone: 775-882-0687