Individual provider · Type 1 NPI

Micah Bass, EXECUTIVE DIRECTOR

Addiction (Substance Use Disorder) Counselor · Victorville, CA

NPI number 1962825505 Active

Practice location

16200 Bear Valley Rd Ste 110
Victorville, CA 92395-8708

Call (760) 241-1777 Map

Fax (760) 245-2253

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 1962825505

Micah Bass, EXECUTIVE DIRECTOR's National Provider Identifier is 1962825505, issued on Feb 3, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Victorville, CA. The record was last updated on Feb 3, 2014.