Doctor Name: | ADRIENNE SUTHERLAND |
NPI Number: | 1689007486 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC INT, LCADC, NCC |
License Number: | 00279-LC |
Business Practice Address: | 720 S. Main St. Suite C Yerington, NV - 89447 |
Business Phone Number: | 7754636597 |
Business Fax Number: | 7754636598 |
Mailing Address: | Po Box 980, VIRGINIA CITY |
State: | NV |
Postal Code: | 894400980 |
Phone Number: | 7758479311 |
Fax Number: | 7758479335 |
NPI Enumeration Date: | 08/15/2013 |
NPI Last Update Date: | 08/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 00279-LC |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |