person
Mr. Hendrik Lute Schanstra III
Addiction (Substance Use Disorder) Counselor in Placerville, California
NPI 1609092717

Hendrik Lute Schanstra III is an Addiction (Substance Use Disorder) Counselor based in El Dorado Hills, CA and is specialized in Addiction (Substance Use Disorder). Hendrik Lute Schanstra III practices in Placerville, CA. The NPI Number for Hendrik Lute Schanstra III is 1609092717 and holds a License No. A3606291 (California).

The current practice location address for Hendrik Lute Schanstra III is 2808 Mallard Ln Ste B, Placerville, CA and can be reached out via phone at 530-621-5112 and via fax at 530-295-2713.

Location: 2808 Mallard Ln Ste B, Placerville, CA, 95762
person
Provider Profile Details
NPI Number
1609092717
Provider Name
Hendrik Lute Schanstra III
Credential
Provider Entity Type
Individual
Gender
Male
Address
2808 Mallard Ln Ste B, Placerville, CA, 95762
Phone Number
530-621-5112
Fax Number
530-295-2713
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2808 Mallard Ln Ste B
City
State
Zip
95667-8770
Phone Number
530-621-5112
Fax Number
530-295-2713
person
Provider Business Mailing Address Details
Address
2808 Mallard Ln Ste B
City
State
Zip
95667-8770
Phone Number
530-621-5112
Fax Number
530-295-2713
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A3606291 (California)
Definition
Definition to come...
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