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Micah Reuben Charles Perez
Professional Counselor in Pasadena, California
NPI 1497369839

Micah Reuben Charles Perez is a Professional Counselor based in Pasadena, CA and is specialized in Professional. Micah Reuben Charles Perez practices in Pasadena, CA. The NPI Number for Micah Reuben Charles Perez is 1497369839 and holds a License No. (California).

The current practice location address for Micah Reuben Charles Perez is 867 N Fair Oaks Ave, Pasadena, CA and can be reached out via phone at 626-993-3165.

Location: 867 N Fair Oaks Ave, Pasadena, CA, 91103-3050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497369839
Provider Name
Micah Reuben Charles Perez
Credential
Provider Entity Type
Individual
Gender
Male
Address
867 N Fair Oaks Ave, Pasadena, CA, 91103-3050
Phone Number
626-993-3165
Fax Number
Provider Enumeration Date
09/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
867 N Fair Oaks Ave
City
Pasadena
State
California
Zip
91103-3050
Phone Number
626-993-3165
Fax Number
person
Provider Business Mailing Address Details
Address
867 N Fair Oaks Ave
City
Pasadena
State
California
Zip
91103-3050
Phone Number
626-993-3165
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
10308 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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