Marisa R Antonicic
Marisa R Antonicic is an Addiction (Substance Use Disorder) Counselor in Redding, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
1616 W StRedding, CA 96001-1726
Phone: (530) 244-7074
Fax: (530) 244-7065
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 9530 (CA) |
|---|
Record details
| NPI number | 1841817251 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 1, 2020 |
| Last updated in NPPES | July 1, 2020 |
| Certification date | July 1, 2020 |
| Mailing address | 1237 California St, Redding, CA 96001-0618 |
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