Provider Demographics
NPI:1821567165
Name:REIBSAMEN, MARILYN NAOMI (MA, MFT)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:NAOMI
Last Name:REIBSAMEN
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:MARILYN
Other - Middle Name:NAOMI
Other - Last Name:AGUIRRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1050 BIBLE WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-2125
Mailing Address - Country:US
Mailing Address - Phone:775-826-2050
Mailing Address - Fax:775-322-2964
Practice Address - Street 1:1050 BIBLE WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-2125
Practice Address - Country:US
Practice Address - Phone:775-826-2050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-15
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI1093106H00000X
NV4152106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist