Stillwater Center for Family Therapy

NPI #1760644041 in Fallon, Nevada

Provider Information

NPI Number: 1760644041
Entity Type: Organization
Organization Name: Stillwater Center for Family Therapy
Primary Specialty: Psychologist
Enumeration Date: Jun 27, 2008
Last Updated: Jun 27, 2008

Practice Location

Address: 158 S TAYLOR ST
City: Fallon
State: Nevada
ZIP Code: 89406-3261
Phone: (775) 867-4123

Authorized Official

Name: CAROL JUUL
Title: LICXENSED CLINICAL SOCIAL WORKER
Phone: (775) 867-4123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Psychologist	103T00000X	Primary

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