Individual provider · Type 1 NPI

Cristie Teresita Tibbetts

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

NPI number 1306038104 Active

Practice location

1900 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6305

Call (530) 307-1170 Map

Fax (530) 307-1170

Other practice locations

  • 1021 Fremont Ave, South Lake Tahoe, CA 96150-8136 · (530) 541-2445

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1306038104

Cristie Teresita Tibbetts's National Provider Identifier is 1306038104, issued on Aug 15, 2007. 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 17, 2018.