INDIGO WATERS COUNSELING SERVICES
Managed Care Organizations at Donner Pass Rd, Truckee, CA

License number
California 29893
Category
Social Work
Type
Clinical
License number
California 29893
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: MRS. KIRSTEN BRUTZMAN-LIVAK L.C.S.W.
Title: OWNER
Phone: (530) 448-0203
Address
Address 2
13406 Donner Pass Rd, Truckee, CA 96161
PO Box 2874, Alpine Meadows, CA 96146
National Provider ID: 1013388966
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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