Individual provider · Type 1 NPI

Marilyn Anne Mancusi, RADT

Addiction (Substance Use Disorder) Counselor · Antioch, CA

NPI number 1346708807 Active

Practice location

1915 D St
Antioch, CA 94509-2571

Call (925) 848-8467 Map

Mailing address

3421 Hudson Ct Apt 46
Antioch, CA 94509-4030

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1339490319 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1346708807

Marilyn Anne Mancusi, RADT's National Provider Identifier is 1346708807, issued on Mar 4, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Antioch, CA. The record was last updated on Mar 4, 2019.