Individual
MARIYA TKACHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
755 N ROOP ST STE 101, CARSON CITY, NV 89701-3107
(775) 841-6050
Mailing address
1821 LAKE TAHOE BLVD, APT. AA7, SOUTH LAKE TAHOE, CA 96150
(925) 448-0713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI5318
NV
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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