person
Lisa B Dettelback, MFT
Mental Health Counselor in Reno, Nevada
NPI 1659159457

Lisa B Dettelback is a Mental Health Counselor based in Sparks, NV and is specialized in Mental Health. Lisa B Dettelback practices in Reno, NV and has the professional credentials of MFT. The NPI Number for Lisa B Dettelback is 1659159457 and holds a License No. 4651 (Nevada).

The current practice location address for Lisa B Dettelback is 95 La Rue Ave, Reno, NV and can be reached out via phone at 775-781-3760. You can also correspond with Lisa B Dettelback through the mailing address at 2307 MILLVILLE DR, SPARKS, NV - 89441-7319 (mailing address contact number: 775-781-3760).

Location: 95 La Rue Ave, Reno, NV, 89441-7319
person
Provider Profile Details
NPI Number
1659159457
Provider Name
Lisa B Dettelback
Credential
MFT
Provider Entity Type
Individual
Gender
Female
Address
95 La Rue Ave, Reno, NV, 89441-7319
Phone Number
775-781-3760
Fax Number
Provider Enumeration Date
09/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
95 La Rue Ave
City
State
Zip
89509-2820
Phone Number
775-781-3760
Fax Number
person
Provider Business Mailing Address Details
Address
95 La Rue Ave
City
State
Zip
89509-2820
Phone Number
775-781-3760
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4651 (Nevada)
Definition
Definition to come...
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