Provider Demographics
NPI:1770865123
Name:NOLIN, KATIE (LMFT, LCADC)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:NOLIN
Suffix:
Gender:F
Credentials:LMFT, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2965 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRINGS
Mailing Address - State:NV
Mailing Address - Zip Code:89429-7477
Mailing Address - Country:US
Mailing Address - Phone:775-846-6916
Mailing Address - Fax:
Practice Address - Street 1:1325 AIRMOTIVE WAY STE 240
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3284
Practice Address - Country:US
Practice Address - Phone:775-737-9001
Practice Address - Fax:775-870-1628
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-12
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00509-LC101YA0400X
NV01501106H00000X
NV0573106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)