Individual
SAVANNAH FRAIJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
924 EMERALD BAY RD # A2, SOUTH LAKE TAHOE, CA 96150-9405
(530) 544-2111
Mailing address
924 EMERALD BAY RD # A2, SOUTH LAKE TAHOE, CA 96150-9405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
15187
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/09/2023
Last updated
11/29/2023
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