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NPI Code Detail

MEDICARE: JILLIAN ANDERSON

MEDICARE: JILLIAN ANDERSON
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
1106H00000XMarriage & Family Therapist2730NV
2101YA0400XAddiction (Substance Use Disorder) Counselor01843-LNV

General Provider Information

NPI Number : 1629468814
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILLIAN ANDERSON
Provider Business Mailing Address
First Line : 6110 PLUMAS ST
Second Line :
City : RENO
State : NV
Zip : 89519-6076
Country : US
Telephone Number : 775-786-6880
Fax Number : 775-786-6899
Provider Business Practice Location Address
First Line : 6110 PLUMAS ST
Second Line :
City : RENO
State : NV
Zip : 89519-6076
Country : US
Telephone Number : 775-786-6880
Fax Number : 775-786-6899
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2015
Last Update Date : 12/09/2025

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Directions to “ JILLIAN ANDERSON ” Practice Location

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