Individual provider · Type 1 NPI

Jerett Lewis Diamond

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

NPI number 1356521934 Active

Practice location

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

Call (530) 541-5190 Map

Fax (530) 541-6031

Mailing address

3790 Paradise Ave Unit A
South Lake Tahoe, CA 96150-8536

Specialties and licenses

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

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

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About NPI 1356521934

Jerett Lewis Diamond's National Provider Identifier is 1356521934, issued on Nov 12, 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 Nov 12, 2007.