Faraco, Allicia

Faraco, Allicia is an sole proprietor health care provider with primary practice located at 1390 N. Lake Blvd Unit A, Tahoe City CA 96145. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Dietary & Nutritional Service Providers / Nutrition, Education, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Faraco, Allicia can be contacted via phone (530) 386-5642.

Contact Information

Primary practice address
1390 N. Lake Blvd Unit A Tahoe City CA 96145
Phone: (530) 386-5642
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RW2928 California
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1750601829
LBN Legal business name Faraco, Allicia
Credentials MHA, CWC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2010
Last updated Dec 20th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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