Allicia Faraco MHA, CWC

NPI 1750601829 - Counselor - 101YA0400X

NPI Details
NPI 1750601829
Gender Female
Enumeration Date 06/10/2010
Last Updated 12/20/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
1390 N. LAKE BLVD
UNIT A
TAHOE CITY CA, 96145, US
Phone (530) 386-5642
Fax
Business Location
PO BOX 231
TAHOE CITY CA, 96145-0231, US
Phone (530) 386-5642
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number RW2928
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According to our database, Mrs. Allicia Faraco MHA, CWC NPI is 1750601829, taxonomy code is 101YA0400X and license number is RW2928, license state is located at California. Allicia Faraco MHA, CWC physically located at 1390 N. Lake Blvd, Tahoe City CA, 96145. NPI Number Allicia Faraco MHA, CWC has the Individual type.

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1750601829 NPI number is provided on an as is basis without warranty of any kind. 1750601829 is maintained by the National Plan & Provider Enumeration System. The contents of Allicia Faraco MHA, CWC are for informational purposes only.