Sutherlin, Abigail Brianna

Sutherlin, Abigail Brianna is an individual health care provider with primary practice located at 924 Emerald Bay Rd Ste A2 , South Lake Tahoe CA 96150-6434. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Sutherlin, Abigail Brianna can be contacted via phone (909) 292-0240.

Contact Information

Primary practice address
924 Emerald Bay Rd Ste A2 South Lake Tahoe CA 96150-6434
Phone: (909) 292-0240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X California
Behavioral Health & Social Service Providers / Clinical 1041C0700X California
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 112368 California

Profile Details

NPI number 1669095535
LBN Legal business name Sutherlin, Abigail Brianna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2020
Last updated Oct 28th, 2024 - about 2 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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