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General NPI Number Information
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NPI Number | 1386244010
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Entity Type | Organization
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Legal Business Name | SERENITY COUNSELING SERVICES
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Dates
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Enumeration Date | 10/30/2020
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 701 JONES ST
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City | RENO
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State | NV
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Zip | 89503-5507
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Country | US
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Telephone | 775-544-5115
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 S MEADOWS PKWY APT 1223
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City | RENO
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State | NV
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Zip | 89521-3996
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Country | US
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Telephone | 775-544-5115
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOEL BURG
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Credential | LCSW
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Telephone | 775-544-5115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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