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Organization
EL DORADO COUNTY MENTAL HEALTH
Active
Organization
EL DORADO COUNTY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE EBRAHIMI-NUYKEN LMFT (BEHAVIORAL HEALTH DIRECTOR)
(530) 621-6545
Entity
Organization
Contact information
Practice address
1900 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-6305
(530) 573-7970
(530) 543-6873
Mailing address
768 PLEASANT VALLEY RD STE 201, DIAMOND SPRINGS, CA 95619-9260
(530) 621-6183
(530) 295-2532
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
CA
Other
Enumeration date
05/29/2007
Last updated
10/07/2020
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