Provider Demographics
NPI:1336356765
Name:OSIER-TATAR, DANIELLE ANNE (MFT, LADC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ANNE
Last Name:OSIER-TATAR
Suffix:
Gender:F
Credentials:MFT, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 E GUFFEY DR
Mailing Address - Street 2:
Mailing Address - City:WASHOE VALLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89704-9009
Mailing Address - Country:US
Mailing Address - Phone:775-741-3642
Mailing Address - Fax:
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:775-826-3774
Practice Address - Fax:775-826-2045
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVL-00950101YA0400X
NV0661106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist