EVAN DECKER

SOUTH LAKE TAHOE, CA
NPI1902045354
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-02-09
Last Update Date2009-02-09
Business Address
Mr. EVAN DECKER
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150-6207
Phone number: 530-541-5190
Mailing Address
Mr. EVAN DECKER
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150-6207
Phone number: 530-541-5190
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