Individual provider · Type 1 NPI

Marisa R. Antonicic

Addiction (Substance Use Disorder) Counselor · Redding, CA

NPI number 1841817251 Active

Practice location

1616 West St
Redding, CA 96001-1726

Call (530) 244-7074 Map

Fax (530) 244-7065

Mailing address

1237 California St
Redding, CA 96001-0618

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X9530 (CA)

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

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About NPI 1841817251

Marisa R. Antonicic's National Provider Identifier is 1841817251, issued on Jul 1, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Redding, CA. The record was last updated on Jul 1, 2020.