Individual
BETH LEWIS TKACIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1446 ETHAN WAY, SACRAMENTO, CA 95825-2214
(916) 922-5110
(916) 921-1239
Mailing address
7506 BRADSHAW RD, SACRAMENTO, CA 95829-1033
(916) 821-8318
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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