Healthcare Provider Details

I. General information

NPI: 1982673299
Provider Name (Legal Business Name): RON CUMMINGS MFT., LADC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S VIRGINIA ST STE 822
RENO NV
89501-1391
US

IV. Provider business mailing address

200 S VIRGINIA ST STE 822
RENO NV
89501-1391
US

V. Phone/Fax

Practice location:
  • Phone: 775-324-5700
  • Fax: 775-686-2401
Mailing address:
  • Phone: 775-324-5700
  • Fax: 775-686-2401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0658
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: