person
Marisa R Antonicic
Addiction (Substance Use Disorder) Counselor in Redding, California
NPI 1841817251

Marisa R Antonicic is an Addiction (Substance Use Disorder) Counselor based in Redding, CA and is specialized in Addiction (Substance Use Disorder). Marisa R Antonicic practices in Redding, CA. The NPI Number for Marisa R Antonicic is 1841817251 and holds a License No. 9530 (California).

The current practice location address for Marisa R Antonicic is 1616 West St, Redding, CA and can be reached out via phone at 530-244-7074 and via fax at 530-244-7065.

Location: 1616 West St, Redding, CA, 96001-0618
person
Provider Profile Details
NPI Number
1841817251
Provider Name
Marisa R Antonicic
Credential
Provider Entity Type
Individual
Gender
Female
Address
1616 West St, Redding, CA, 96001-0618
Phone Number
530-244-7074
Fax Number
530-244-7065
Provider Enumeration Date
07/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1616 West St
City
State
Zip
96001-1726
Phone Number
530-244-7074
Fax Number
530-244-7065
person
Provider Business Mailing Address Details
Address
1616 West St
City
State
Zip
96001-1726
Phone Number
530-244-7074
Fax Number
530-244-7065
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
9530 (California)
Definition
Definition to come...
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