Individual provider · Type 1 NPI

Elizabeth Fedor, LADC

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

NPI number 1467656645 Active

Practice location

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

Call (530) 541-5190 Map

Mailing address

PO Box 14269
South Lake Tahoe, CA 96151-4269

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X148 L (NV)

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

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About NPI 1467656645

Elizabeth Fedor, LADC's National Provider Identifier is 1467656645, issued on Jun 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 Jul 8, 2007.