Healthcare Provider Details

I. General information

NPI: 1275242000
Provider Name (Legal Business Name): CHRISTINE MICHELLE CASSINELLI SR.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2022
Last Update Date: 06/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 MILL ST
RENO NV
89502-1321
US

IV. Provider business mailing address

850 MILL ST
RENO NV
89502-1413
US

V. Phone/Fax

Practice location:
  • Phone: 775-954-1400
  • Fax: 775-954-1406
Mailing address:
  • Phone: 775-538-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: