Provider Demographics
NPI:1538599154
Name:BRINKERHOFF, RUTH (MA EDSMFT-INTERN)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:BRINKERHOFF
Suffix:
Gender:F
Credentials:MA EDSMFT-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11295 CORNERBROOK CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-9221
Mailing Address - Country:US
Mailing Address - Phone:775-772-3010
Mailing Address - Fax:
Practice Address - Street 1:180 WEST HUFFAKE LANE
Practice Address - Street 2:SUITE 303
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-9221
Practice Address - Country:US
Practice Address - Phone:775-772-3010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-18
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI0466101YM0800X
NV688L101YA0400X
NV32863103TS0200X, 101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool