Indigo Waters Counseling Services
NPI #1013388966 in Truckee, California
Provider Information
- NPI Number
- 1013388966
- Entity Type
- Organization
- Organization Name
- Indigo Waters Counseling Services
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 16, 2015
- Last Updated
- Oct 16, 2015
Practice Location
- Address
- 13406 DONNER PASS RD
- City
- Truckee
- State
- California
- ZIP Code
- 96161-3822
- Phone
- (530) 448-0203
Authorized Official
- Name
- MRS. KIRSTEN BRUTZMAN-LIVAK, L.C.S.W.
- Title
- OWNER
- Phone
- (530) 448-0203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
| Social Worker - Clinical — Clinical |
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