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General NPI Number Information
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NPI Number | 1689007486
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Entity Type | Individual
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Provider Name | ADRIENNE SUTHERLAND RENWICK LCPC, LCADC
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Gender | Female
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Dates
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Enumeration Date | 08/15/2013
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Last Update Date | 05/07/2020
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Provider Practice Location Address
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Address Line | 730 S CENTER ST
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City | RENO
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State | NV
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Zip | 89501-2304
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Country | US
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Telephone | 775-302-9973
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Fax |
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Provider Business Mailing Address
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Address Line | 3881 N WESTPOINT DR
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City | RENO
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State | NV
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Zip | 89509-6875
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Country | US
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Telephone | 775-762-6795
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 00279-LC
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CI0054
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License Number State | NV
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