Individual
ASHLEY ELIZABETH BEDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1137 EMERALD BAY RD., SOUTH LAKE TAHOE, CA 96150
(530) 541-5190
Mailing address
1137 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 541-5190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00607
CA
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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