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Organization
LASSEN INTERVENTION, LLC
Active
Organization
LASSEN INTERVENTION, LLC
Active
Other names
Lassen Intervention
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CHARLENE PETERSEN (OWNER)
(530) 310-2755
Entity
Organization
Contact information
Practice address
44 N LASSEN ST, SUSANVILLE, CA 96130-3966
(530) 310-2755
Mailing address
PO BOX 192, SUSANVILLE, CA 96130-0192
(530) 310-0169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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