Provider Demographics
NPI:1386843142
Name:HAKIELLO, GEORGE (MFT)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:
Last Name:HAKIELLO
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11130
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89520-0027
Mailing Address - Country:US
Mailing Address - Phone:775-337-4477
Mailing Address - Fax:775-337-4412
Practice Address - Street 1:350 S CENTER ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-2111
Practice Address - Country:US
Practice Address - Phone:775-337-4477
Practice Address - Fax:775-337-4412
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0998101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health