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Search › Nevada › Community/Behavioral Health Agency

Jack Golla, QBA

NPI 1780985721 · on the registry since 2010 · sole proprietor

Practice

Address
670 Washoe Dr
Carson City, NV 89704
Phone
(775) 849-3165
Fax
(775) 849-9425
Organisation at this address
Golla Home
Golla Home
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Community/Behavioral Health Agency
251S00000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-11-08
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada