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Mr. Michael Juckett
Addiction (Substance Use Disorder) Counselor in South Lake Tahoe, California
NPI 1629272869

Michael Juckett is an Addiction (Substance Use Disorder) Counselor based in South Lake Tahoe, CA and is specialized in Addiction (Substance Use Disorder). Michael Juckett practices in South Lake Tahoe, CA. The NPI Number for Michael Juckett is 1629272869 and holds a License No. (California).

The current practice location address for Michael Juckett is 1137 Emerald Bay Rd, South Lake Tahoe, CA and can be reached out via phone at 530-541-5190.

Location: 1137 Emerald Bay Rd, South Lake Tahoe, CA, 96151-6435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629272869
Provider Name
Michael Juckett
Credential
Provider Entity Type
Individual
Gender
Male
Address
1137 Emerald Bay Rd, South Lake Tahoe, CA, 96151-6435
Phone Number
530-541-5190
Fax Number
Provider Enumeration Date
06/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1137 Emerald Bay Rd
City
South Lake Tahoe
State
California
Zip
96150-6207
Phone Number
530-541-5190
Fax Number
person
Provider Business Mailing Address Details
Address
1137 Emerald Bay Rd
City
South Lake Tahoe
State
California
Zip
96150-6207
Phone Number
530-541-5190
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(California)
Definition
Definition to come...
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