Healthcare Provider Details

I. General information

NPI: 1548196512
Provider Name (Legal Business Name): MOSES ACHOKA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6110 PLUMAS ST
RENO NV
89519-6076
US

IV. Provider business mailing address

6110 PLUMAS ST
RENO NV
89519-6076
US

V. Phone/Fax

Practice location:
  • Phone: 775-786-6880
  • Fax:
Mailing address:
  • Phone: 775-786-6880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number07962-LCI
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number07961-IG
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMI4719
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: