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NPI Code Detail

MEDICARE: TRENT DILLON MAHLER LCSW

MEDICARE:   TRENT DILLON MAHLER  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 Worker
21041C0700XClinical Social WorkerNV

General Provider Information

NPI Number : 1871267906
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRENT DILLON MAHLER LCSW
Provider Business Mailing Address
First Line : 5838 WALNUT CREEK RD
Second Line :
City : RENO
State : NV
Zip : 89523-2535
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5540 RENO CORPORATE DR
Second Line :
City : RENO
State : NV
Zip : 89511-2599
Country : US
Telephone Number : 775-448-9760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2021
Last Update Date : 05/28/2024

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Directions to “ TRENT DILLON MAHLER LCSW” Practice Location

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