| Doctor Name: | MRS. ALLICIA FARACO |
| NPI Number: | 1750601829 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MHA, CWC |
| License Number: | RW2928 |
| Business Practice Address: | 1390 N. Lake Blvd Unit A Tahoe City, CA - 96145 |
| Business Phone Number: | 5303865642 |
| Business Fax Number: | |
| Mailing Address: | Po Box 231, TAHOE CITY |
| State: | CA |
| Postal Code: | 961450231 |
| Phone Number: | 5303865642 |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2010 |
| NPI Last Update Date: | 12/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | RW2928 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |