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10104 Donner Pass Rd Truckee CA 96161-0412 | |
| (530) 414-0484 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10104 Donner Pass Rd, Truckee, California |
| Authorized Official Name and Position | Jamie L Sacks (OWNER / CEO) |
| Authorized Official Contact | 5304140484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10104 Donner Pass Rd Truckee CA 96161-0412 Ph: (530) 414-0484 | 10104 Donner Pass Rd Truckee CA 96161-0412 Ph: (530) 414-0484 |
| NPI Number | 1922736081 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 01/07/2025 |
| Certification Date | 01/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922736081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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