Individual provider · Type 1 NPI

Susie Stich, RS6489

Addiction (Substance Use Disorder) Counselor · South Lake Tahoe, CA

NPI number 1194066738 Active

Practice location

2494 Lake Tahoe Blvd, B-5
South Lake Tahoe, CA 96150-7719

Fax (530) 541-3144

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRS6489 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194066738

Susie Stich, RS6489's National Provider Identifier is 1194066738, issued on Mar 6, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Mar 6, 2013.