Basic Information
| Provider Information | |||||||||
| NPI: | 1548457914 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CONTE | ||||||||
| FirstName: | CHRISTIAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D., CPC, NCP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1101 W MOANA LN STE 14 | ||||||||
| Address2: | ALLIANCE FAMILY SERVICES | ||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895094734 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7753372394 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1101 W MOANA LN | ||||||||
| Address2: | SUITE 14 | ||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895094775 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7753372394 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/01/2007 | ||||||||
| LastUpdateDate: | 04/28/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | PC003673 | PA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YP2500X | CP0046 | NV | Y | Behavioral Health & Social Service Providers | Counselor | Professional | 101YP2500X | PC003673 | PA | N | Behavioral Health & Social Service Providers | Counselor | Professional |
ID Information
| ID | Type | State | Issuer | Description | 100511714 | 05 | NV | MEDICAID |