Individual
MRS. ALLICIA FARACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 N. LAKE BLVD, UNIT A, TAHOE CITY, CA 96145
(530) 386-5642
Mailing address
PO BOX 876, VERDI, NV 89439-0876
(530) 807-7283
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RW2928
CA
Other
Enumeration date
06/10/2010
Last updated
01/04/2025
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