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Mrs. Allicia Faraco, MHA,CWC
Rehabilitation Practitioner in Tahoe City, California
NPI 1750601829

Allicia Faraco is a Rehabilitation Practitioner based in Tahoe City, CA. Allicia Faraco practices in Tahoe City, CA and has the professional credentials of MHA,CWC. The NPI Number for Allicia Faraco is 1750601829 and holds a License No. RW2928 (California).

The current practice location address for Allicia Faraco is 1390 N. Lake Blvd, Tahoe City, CA and can be reached out via phone at 530-386-5642.

Location: 1390 N. Lake Blvd, Tahoe City, CA, 96145-0231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750601829
Provider Name
Allicia Faraco
Credential
MHA,CWC
Provider Entity Type
Individual
Gender
Female
Address
1390 N. Lake Blvd, Tahoe City, CA, 96145-0231
Phone Number
530-386-5642
Fax Number
Provider Enumeration Date
06/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1390 N. Lake Blvd
City
Tahoe City
State
California
Zip
96145
Phone Number
530-386-5642
Fax Number
person
Provider Business Mailing Address Details
Address
1390 N. Lake Blvd
City
Tahoe City
State
California
Zip
96145
Phone Number
530-386-5642
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.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
Nutrition, Education
Taxonomy
133NN1002X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
RW2928 (California)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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