Healthcare Provider Details

I. General information

NPI: 1235782137
Provider Name (Legal Business Name): KARA FRAKI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2019
Last Update Date: 01/22/2022
Certification Date: 01/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 CAPITOL HILL AVE
RENO NV
89502-2923
US

IV. Provider business mailing address

975 KIRMAN AVE
RENO NV
89502-0993
US

V. Phone/Fax

Practice location:
  • Phone: 775-324-6600
  • Fax: 775-326-2958
Mailing address:
  • Phone: 775-324-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6464-S
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: