SUSAN ARIANA TARISA BENHAM

SOUTH LAKE TAHOE, CA
NPI1154065639
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: CA  ASW107313)
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2022-04-21
Last Update Date2023-06-30
Business Address
SUSAN ARIANA TARISA BENHAM
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-6305
Phone number: 530-318-4824
Mailing Address
SUSAN ARIANA TARISA BENHAM
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-6305
Phone number: 530-318-4824