Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jody Kwachak Hall

Individual provider Professional Counselor · NPI 1770963621

Jody Kwachak Hall is a Professional Counselor in South Lake Tahoe, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1900 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6305
Phone: (530) 573-7962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT115414 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence LPCC10549 (CA)

Record details

NPI number1770963621
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 5, 2015
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023

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