Individual provider · Type 1 NPI

Michael Dominick Pardo, CADC

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

NPI number 1346489549 Active

Practice location

1137 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207

Call (530) 541-5190 Map

Fax (530) 541-6031

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XN4785522 (CA)

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

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About NPI 1346489549

Michael Dominick Pardo, CADC's National Provider Identifier is 1346489549, issued on Feb 11, 2009. 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 Feb 11, 2009.