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1316578701
NICOLE MARIE VANDEHURST
SOUTH LAKE TAHOE, CA
NPI
1316578701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-02-04
Last Update Date
2020-02-04
Business Address
NICOLE MARIE VANDEHURST MA
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-6305
Phone number: 530-573-7956
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Mailing Address
NICOLE MARIE VANDEHURST MA
2795 SPRINGWOOD DR
SOUTH LAKE TAHOE, CA 96150-2815
Phone number: 707-849-0128
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A BALANCED LIFE: INDIVIDUAL, FAMILY & CHILD THERAPY, INC.