Provider Demographics
NPI:1013467448
Name:RENEE CARRICO, MFT, NCSP AND DARJEELING THERAPY THERAPY SERVICES
Entity type:Organization
Organization Name:RENEE CARRICO, MFT, NCSP AND DARJEELING THERAPY THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARRICO
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:775-842-0191
Mailing Address - Street 1:PO BOX 194
Mailing Address - Street 2:
Mailing Address - City:VERDI
Mailing Address - State:NV
Mailing Address - Zip Code:89439-0194
Mailing Address - Country:US
Mailing Address - Phone:775-842-0191
Mailing Address - Fax:
Practice Address - Street 1:495 APPLE ST
Practice Address - Street 2:225
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3553
Practice Address - Country:US
Practice Address - Phone:775-842-0191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0712106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty