Mountain Therapy Collaborative
Mountain Therapy Collaborative is a Group Psychotherapy Psychologist in South Lake Tahoe, California. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
870 Emerald Bay Rd Ste 303South Lake Tahoe, CA 96150-9400
Phone: (415) 806-0275
Fax: (530) 600-0063
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Group Psychotherapy Psychologist (primary) | Taxonomy 103TP2701X |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X |
| Occupational Therapy Assistant | Taxonomy 224Z00000X |
Record details
| NPI number | 1053825505 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Wong — Owner · (415) 806-0275 |
| NPI enumerated | November 20, 2017 |
| Last updated in NPPES | November 20, 2017 |
| Mailing address | 870 Emerald Bay Rd Ste 303, South Lake Tahoe, CA 96150-9400 |