Kwachak Hall, Jody

Kwachak Hall, Jody is an sole proprietor health care provider with primary practice located at 1900 Lake Tahoe Blvd , South Lake Tahoe CA 96150-6305. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Kwachak Hall, Jody can be contacted via phone (530) 573-7962.

Contact Information

Primary practice address
1900 Lake Tahoe Blvd South Lake Tahoe CA 96150-6305
Phone: (530) 573-7962
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPCC10549 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT115414 California

Profile Details

NPI number 1770963621
LBN Legal business name Kwachak Hall, Jody
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2015
Last updated Sep 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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