Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERETT LEWIS DIAMOND
ActiveJERETT LEWIS DIAMOND is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1356521934 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SOUTH LAKE TAHOE, CA
Registration Details
- NPI Number
- 1356521934
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 12, 2007 (18.570783066549 yrs)
- Last Updated
- Nov 12, 2007
Practice Information
- Address
-
1137 EMERALD BAY RDSOUTH LAKE TAHOE, CA, 961506207Browse CA providers · Browse ZIP 96150
- Phone
- 5305415190
- Fax
- 5305416031
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SOUTH LAKE TAHOE, CA
| Name | Credential | NPI |
|---|---|---|
| WALTER PEDERSEN | CADC II | 1730301128 |
| MR. FRANK R COLEMAN | LADC | 1942404116 |
| MRS. ELIZABETH FEDOR | LADC | 1467656645 |
| MR. MICHAEL JUCKETT | — | 1629272869 |
| MR. KURT STURGEON | — | 1275737421 |
| MS. DEBORAH KATHLEEN MENDONSA | — | 1780889030 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.