MICAH CHARLES RAUSCH

LOS ANGELES, CA
NPI1285213751
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-04-03
Last Update Date2021-04-03
Business Address
Mr. MICAH CHARLES RAUSCH
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-5200
Mailing Address
Mr. MICAH CHARLES RAUSCH
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-5200