Provider Demographics
NPI:1790979649
Name:HARPER, LYNDA ANDRUS (MS, MFT, LADC)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:ANDRUS
Last Name:HARPER
Suffix:
Gender:F
Credentials:MS, MFT, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 E LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-2212
Mailing Address - Country:US
Mailing Address - Phone:775-322-6605
Mailing Address - Fax:
Practice Address - Street 1:325 E LIBERTY ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-2212
Practice Address - Country:US
Practice Address - Phone:775-322-6605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1066101YA0400X
NV01007106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)