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1063038610
MICAH LEIGH RICH
REDDING, CA
NPI
1063038610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-06-19
Last Update Date
2020-06-19
Business Address
MICAH LEIGH RICH
3648 EL PORTAL DR
REDDING, CA 96002-3133
Phone number: 530-722-1114
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Mailing Address
MICAH LEIGH RICH
3590 EL PORTAL DR APT 12
REDDING, CA 96002-3154
Phone number: 530-736-5445
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