Individual provider · Type 1 NPI

Sara Lynne Ivans

Addiction (Substance Use Disorder) Counselor · Clearlake Oaks, CA

NPI number 1902639768 Active

Practice location

14715 East Hwy 20
Clearlake Oaks, CA 95423

Call (707) 998-1800 Map

Mailing address

PO Box 316
Lucerne, CA 95458-0316

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XSUDRC19131 (CA)

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

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About NPI 1902639768

Sara Lynne Ivans's National Provider Identifier is 1902639768, issued on Aug 26, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearlake Oaks, CA. The record was last updated on Aug 26, 2024.