Mrs Allicia Faraco, MHA, CWC is a
Rehabilitation Practitioner based in Tahoe City, California. Mrs Allicia Faraco is licensed to practice in * (Not Available) (license number ) and her current practice location is
1390 N. Lake Blvd, Unit A, Tahoe City, California. She can be reached at her office (for appointments etc.) via phone at
(530) 386-5642.
NPI number for Mrs Allicia Faraco is 1750601829 and her current mailing address is Po Box 231, Tahoe City, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750601829.
Healthcare Provider's Profile
| Full Name | Mrs Allicia Faraco |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 1390 N. Lake Blvd, Tahoe City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1750601829
- Provider Enumeration Date: 06/10/2010
- Last Update Date: 12/20/2013
Medical Identifiers
Medical identifiers for Mrs Allicia Faraco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750601829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | RW2928 (California) | Secondary |
| 133NN1002X | Nutritionist - Nutrition, Education | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Allicia Faraco is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Allicia Faraco, MHA, CWC
Po Box 231,
Tahoe City, CA 96145-0231
Ph: (530) 386-5642 | Mrs Allicia Faraco, MHA, CWC
1390 N. Lake Blvd, Unit A,
Tahoe City, CA 96145
Ph: (530) 386-5642 |
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