Provider Demographics
NPI:1679986202
Name:DANA, SHERRILL (LCPC)
Entity Type:Individual
Prefix:
First Name:SHERRILL
Middle Name:
Last Name:DANA
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 DELUCCHI LN APT 51
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-6697
Mailing Address - Country:US
Mailing Address - Phone:775-722-1279
Mailing Address - Fax:
Practice Address - Street 1:6590 S MCCARRAN BLVD STE A
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6122
Practice Address - Country:US
Practice Address - Phone:775-324-1600
Practice Address - Fax:775-324-1602
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCPO228101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional