Healthcare Provider Details

I. General information

NPI: 1972053338
Provider Name (Legal Business Name): MASHARA MUNNS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2016
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2244 ODDIE BLVD
SPARKS NV
89431-7574
US

IV. Provider business mailing address

680 S ROCK BLVD
RENO NV
89502-4113
US

V. Phone/Fax

Practice location:
  • Phone: 775-329-6300
  • Fax: 775-348-3896
Mailing address:
  • Phone: 775-329-6300
  • Fax: 775-348-3896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2716
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: