Shannon Bruckbauer
Shannon Bruckbauer is a Mental Health Counselor in South Lake Tahoe, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
1900 Lake Tahoe BlvdSouth Lake Tahoe, CA 96150-6305
Phone: (530) 573-7970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 9065 (CA) |
|---|
Record details
| NPI number | 1972295947 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 25, 2023 |
| Last updated in NPPES | May 25, 2023 |
| Certification date | May 25, 2023 |
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