Individual provider · Type 1 NPI

Hendrik Lute Schanstra Iii

Addiction (Substance Use Disorder) Counselor · Placerville, CA

NPI number 1609092717 Active

Practice location

2808 Mallard Ln Ste B
Placerville, CA 95667-8770

Fax (530) 295-2713

Mailing address

2700 Valley View, APT.725
El Dorado Hills, CA 95762

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA3606291 (CA)

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

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About NPI 1609092717

Hendrik Lute Schanstra Iii's National Provider Identifier is 1609092717, issued on Apr 17, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Placerville, CA. The record was last updated on Jul 8, 2007.