Individual provider · Type 1 NPI

Holey Mic Run

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1821367715 Active

Practice location

4343 Williamsbourgh Dr
Sacramento, CA 95823-2006

Mailing address

4732 Parker Ave
Sacramento, CA 95820-4015

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1821367715

Holey Mic Run's National Provider Identifier is 1821367715, issued on Dec 21, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Dec 21, 2011.