| Truckee Therapy Inc Licensed Clinical Social Worker | |
|
10833 Donner Pass Rd Ste 206 Truckee CA 96161-4851 | |
| (530) 285-3335 | |
| Not Available |
| Full Name | Truckee Therapy Inc Licensed Clinical Social Worker |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10833 Donner Pass Rd Ste 206, Truckee, California |
| Authorized Official Name and Position | Stacey Stahl (OWNER) |
| Authorized Official Contact | 5304148014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Truckee Therapy Inc Licensed Clinical Social Worker Po Box 574 Truckee CA 96160-0574 Ph: (530) 285-3335 | Truckee Therapy Inc Licensed Clinical Social Worker 10833 Donner Pass Rd Ste 206 Truckee CA 96161-4851 Ph: (530) 285-3335 |
| NPI Number | 1831814698 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 10/04/2022 |
| Certification Date | 10/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831814698 | NPI | - | NPPES |
| 1720275738 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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