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NPI Code Detail

MEDICARE: EMILEE BUENDIA LCSW

MEDICARE: EMILEE BUENDIA LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker11418-CNV

General Provider Information

NPI Number : 1134671712
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILEE BUENDIA LCSW
Provider Business Mailing Address
First Line : 1155 MILL ST # MCM-14
Second Line :
City : RENO
State : NV
Zip : 89502-1576
Country : US
Telephone Number : 775-982-5262
Fax Number : 775-982-8871
Provider Business Practice Location Address
First Line : 480 GALLETTI WAY
Second Line :
City : SPARKS
State : NV
Zip : 89431-5544
Country : US
Telephone Number : 775-982-8870
Fax Number : 775-982-8871
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2016
Last Update Date : 12/23/2024

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Directions to “ EMILEE BUENDIA LCSW” Practice Location

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