Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 9747-C | NV |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1215271002 |
---|---|
Provider Name | Ashlee Sampson |
First Address | Reno, NV 89511-2209 |
Second Address | Reno, NV 89511-2209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2012 |
Last Update Date | 03/01/2022 |