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Search › California › 101YA0400X

Dustin Wedekind

NPI 1932719028 · on the registry since 2020 · sole proprietor

Practice

Address
1021 Fremont Ave
South Lake Tahoe, CA 96150
Phone
(530) 541-2445
Organisation at this address
Tahoe Youth & Family Services
Tahoe Youth And Family Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California