Individual provider · Type 1 NPI

Justin Eastman

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

NPI number 1346621273 Active

Practice location

2494 Lake Tahoe Blvd, Suite B6
South Lake Tahoe, CA 96150-7719

Call (530) 541-4594 Map

Fax (530) 542-1200

Mailing address

PO Box 17509
South Lake Tahoe, CA 96151-7509

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR931014 (CA)

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

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About NPI 1346621273

Justin Eastman's National Provider Identifier is 1346621273, issued on Jun 16, 2015. 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 Jun 16, 2015.