Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JODY KWACHAK HALL
Active Sole ProprietorJODY KWACHAK HALL is a Marriage & Family Therapist healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1770963621 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · SOUTH LAKE TAHOE, CA
Registration Details
- NPI Number
- 1770963621
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2015 (11.009967271511 yrs)
- Last Updated
- Sep 13, 2023
- Licenses
-
LPCC10549 (CA)LMFT115414 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1900 LAKE TAHOE BLVDSOUTH LAKE TAHOE, CA, 961506305Browse CA providers · Browse ZIP 96150
- Phone
- 5305737962
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Marriage & Family Therapist
Other Marriage & Family Therapist Providers in SOUTH LAKE TAHOE, CA
| Name | Credential | NPI |
|---|---|---|
| THOMAS DICKEY | MFT | 1457393449 |
| SABRINA OWEN | LMFT | 1942304365 |
| MS. VIOLA ELIZABETH NUNGARY | M.F.T. | 1275607665 |
| CHRISTIANNE BIJASA KERNES | LMFT | 1407982770 |
| MONICA BARSON CAMPBELL | MFC | 1861525628 |
| MR. MICHEL GEORGE VANGORDON | MA, LMFT | 1649494345 |
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.