Organization · Type 2 NPI
A Balanced Life: Individual, Family and Child Therapy, Inc
Mental Health Counselor · South Lake Tahoe, CA
NPI number
1083153837
Active
Practice location
2100 Eloise Ave
South Lake Tahoe, CA 96150-4306
Fax (530) 544-1728
Mailing address
PO Box 7152
South Lake Tahoe, CA 96158-0152
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LCSW24256 (CA) |
Mental Health Counselor: Definition to come...
2 other providers at this address
About NPI 1083153837
A Balanced Life: Individual, Family and Child Therapy, Inc's National Provider Identifier is 1083153837, issued on Feb 13, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Feb 13, 2017.