location
search-icon
person
Shannon Bruckbauer
Mental Health Counselor in South Lake Tahoe, California
NPI 1972295947

Shannon Bruckbauer is a Mental Health Counselor based in South Lake Tahoe, CA and is specialized in Mental Health. Shannon Bruckbauer practices in South Lake Tahoe, CA. The NPI Number for Shannon Bruckbauer is 1972295947 and holds a License No. 9065 (California).

The current practice location address for Shannon Bruckbauer is 1900 Lake Tahoe Blvd, South Lake Tahoe, CA and can be reached out via phone at 530-573-7970.

Location: 1900 Lake Tahoe Blvd, South Lake Tahoe, CA, 96150-6305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972295947
Provider Name
Shannon Bruckbauer
Credential
Provider Entity Type
Individual
Gender
Female
Address
1900 Lake Tahoe Blvd, South Lake Tahoe, CA, 96150-6305
Phone Number
530-573-7970
Fax Number
Provider Enumeration Date
05/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1900 Lake Tahoe Blvd
City
South Lake Tahoe
State
California
Zip
96150-6305
Phone Number
530-573-7970
Fax Number
person
Provider Business Mailing Address Details
Address
1900 Lake Tahoe Blvd
City
South Lake Tahoe
State
California
Zip
96150-6305
Phone Number
530-573-7970
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
9065 (California)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.