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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

NPI # 1013388966
LBN Legal business name INDIGO WATERS COUNSELING SERVICES
Authorized official KIRSTEN BRUTZMAN-LIVAK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2015
Last updated 10/16/2015 - About 11 years ago
Identifiers
CA License # 29893
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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