Kwachak Hall, Jody
Kwachak Hall, Jody is an sole proprietor health care provider with primary practice located at 1900 Lake Tahoe Blvd , South Lake Tahoe CA 96150-6305. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Kwachak Hall, Jody can be contacted via phone (530) 573-7962.Contact Information
Primary practice address
1900 Lake Tahoe Blvd
South Lake Tahoe CA 96150-6305
Phone: (530) 573-7962
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPCC10549 | California |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT115414 | California |
Profile Details
NPI number | 1770963621 |
---|---|
LBN Legal business name | Kwachak Hall, Jody |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 5th, 2015 |
Last updated | Sep 13th, 2023 - about last year |
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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