SHANNON BRUCKBAUER

SOUTH LAKE TAHOE, CA
NPI1972295947
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  9065)
Enumeration Date2023-05-25
Last Update Date2023-05-25
Business Address
SHANNON BRUCKBAUER
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-6305
Phone number: 530-573-7970
Mailing Address
SHANNON BRUCKBAUER
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-6305
Phone number:
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