Organization · Type 2 NPI
Sacred Life Recovery Services
Addiction (Substance Use Disorder) Counselor · Lakeport, CA
NPI number
1750119061
Active
Practice location
2681 Lakeshore Blvd Apt 7
Lakeport, CA 95453-6971
Mailing address
495 N Main St Ste 128
Lakeport, CA 95453-4809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1750119061
Sacred Life Recovery Services's National Provider Identifier is 1750119061, issued on Jul 26, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lakeport, CA. The record was last updated on Sep 19, 2025.