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Contact Information

INDIGO WATERS COUNSELING SERVICES
13406 DONNER PASS RD
TRUCKEE, CA96161-3822
 Phone: 530-448-0203
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for INDIGO WATERS COUNSELING SERVICES · (Female)

NPI # 1013388966
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2015
Last updated 10/16/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 29893
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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