Lassen Intervention, LLC
NPI #1336928647 in Susanville, California
Provider Information
- NPI Number
- 1336928647
- Entity Type
- Organization
- Organization Name
- Lassen Intervention, LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 26, 2023
- Last Updated
- Sep 26, 2023
Practice Location
- Address
- 44 N LASSEN ST
- City
- Susanville
- State
- California
- ZIP Code
- 96130-3966
- Phone
- (530) 310-2755
Authorized Official
- Name
- JENNIFER CHARLENE PETERSEN
- Title
- OWNER
- Phone
- (530) 310-2755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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