| Lassen Intervention, Llc | |
|
44 N Lassen St Susanville CA 96130-3966 | |
| (530) 310-2755 | |
| Not Available |
| Full Name | Lassen Intervention, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 44 N Lassen St, Susanville, California |
| Authorized Official Name and Position | Jennifer Charlene Petersen (OWNER) |
| Authorized Official Contact | 5303102755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lassen Intervention, Llc Po Box 192 Susanville CA 96130-0192 Ph: (530) 310-0169 | Lassen Intervention, Llc 44 N Lassen St Susanville CA 96130-3966 Ph: (530) 310-2755 |
| NPI Number | 1336928647 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336928647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Integrative Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 472-100 Richmond Rd N, Susanville, CA 96130 Phone: 530-257-5462 Fax: 530-257-8954 | |
James L. Snell Phd Lmft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 Main Street, Suites 202 203, Susanville, CA 96130 Phone: 530-257-4404 Fax: 530-257-4404 | |
Icps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 Bunyan Rd, Suite B, Susanville, CA 96130 Phone: 530-251-8277 | |
Lassen Aurora Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Cottage St, Susanville, CA 96130 Phone: 530-257-3864 | |
Lassen County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Hospital Ln, Susanville, CA 96130 Phone: 530-251-8080 Fax: 530-251-5884 | |
Lassen County Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Chestnut St, Suite A, Susanville, CA 96130 Phone: 530-251-2610 Fax: 530-252-2670 |