Healthcare Provider Details

I. General information

NPI: 1972979821
Provider Name (Legal Business Name): TASHINA ROSE SALAS CADCI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TASHINA ROSE SALAS

II. Dates (important events)

Enumeration Date: 08/14/2015
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 MILL ST
RENO NV
89502-1321
US

IV. Provider business mailing address

1635 PAKWE LN
RENO NV
89510-9231
US

V. Phone/Fax

Practice location:
  • Phone: 775-954-1400
  • Fax:
Mailing address:
  • Phone: 775-842-5043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: