Provider Demographics
NPI:1851916647
Name:JUSETH GIRON LCSW PSYCHOTHERAPY LLC
Entity Type:Organization
Organization Name:JUSETH GIRON LCSW PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JUSTEH
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW,
Authorized Official - Phone:775-354-4935
Mailing Address - Street 1:255 N SIERRA ST UNIT 913
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-1371
Mailing Address - Country:US
Mailing Address - Phone:775-354-4935
Mailing Address - Fax:
Practice Address - Street 1:255 N SIERRA ST UNIT 913
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-1371
Practice Address - Country:US
Practice Address - Phone:775-354-4935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health