| Mountain High Recovery Center | |
|
2949 Lake Tahoe Blvd Suite B7 South Lake Tahoe CA 96150 | |
| (530) 600-6505 | |
| Not Available |
| Full Name | Mountain High Recovery Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2949 Lake Tahoe Blvd, South Lake Tahoe, California |
| Authorized Official Name and Position | Kim Hewett (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 9182079519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain High Recovery Center 2949 Lake Tahoe Blvd Suite B7 South Lake Tahoe CA 96150 Ph: (530) 600-6505 | Mountain High Recovery Center 2949 Lake Tahoe Blvd Suite B7 South Lake Tahoe CA 96150 Ph: (530) 600-6505 |
| NPI Number | 1033805015 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 04/13/2023 |
| Certification Date | 04/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033805015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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