Provider Demographics
NPI:1720253669
Name:DEAR, ELIZABETH (MFT, LCADC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:DEAR
Suffix:
Gender:F
Credentials:MFT, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 PLUMAS ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-1630
Mailing Address - Country:US
Mailing Address - Phone:775-348-4696
Mailing Address - Fax:775-348-4696
Practice Address - Street 1:527 PLUMAS ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-1630
Practice Address - Country:US
Practice Address - Phone:775-348-4696
Practice Address - Fax:775-348-4696
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0957106H00000X
CA40592106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist