person
Mickie Marchetti
Addiction (Substance Use Disorder) Counselor in Antioch, California
NPI 1508044264

Mickie Marchetti is an Addiction (Substance Use Disorder) Counselor based in Antioch, CA and is specialized in Addiction (Substance Use Disorder). Mickie Marchetti practices in Antioch, CA. The NPI Number for Mickie Marchetti is 1508044264 and holds a License No. (California).

The current practice location address for Mickie Marchetti is 1915 D St, Antioch, CA and can be reached out via phone at 925-754-3673 and via fax at 925-754-2002.

Location: 1915 D St, Antioch, CA, 94509-2571
person
Provider Profile Details
NPI Number
1508044264
Provider Name
Mickie Marchetti
Credential
Provider Entity Type
Individual
Gender
Male
Address
1915 D St, Antioch, CA, 94509-2571
Phone Number
925-754-3673
Fax Number
925-754-2002
Provider Enumeration Date
02/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07553 01 CA ADOL TX BRENTWOOD
56112 01 CA STAFF BILLING NUMBER
07536 01 CA DMC ADOL ANTIOCH
07556 01 CA BYRON RANCH
07557 01 CA DMC ADOL BRENTWOOD
070753 01 CA MASTER PROVIDER NUMBER
0753 01 CA DRUG M/CAL BILLING NUM
07531 01 CA ADULT TX ANTIOCH
07552 01 CA DMC ADULT BRENTWOOD
07533 01 CA ADOL TX ANTIOCH
07555 01 CA DRUG COURT
0726 01 CA DRUG M/CAL BILLING NUM
07534 01 CA DMC ADULT ANTIOCH
07551 01 CA ADULT TX BRENTWOOOD
institution
Provider Business Practice Location Address Details
Address
1915 D St
City
State
Zip
94509-2571
Phone Number
925-754-3673
Fax Number
925-754-2002
person
Provider Business Mailing Address Details
Address
1915 D St
City
State
Zip
94509-2571
Phone Number
925-754-3673
Fax Number
925-754-2002
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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