ANDREW MICKA

BAKER CITY, OR
NPI1356709570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  15-06-10)
Enumeration Date2016-02-02
Last Update Date2016-02-02
Business Address
-- ANDREW MICKA
3700 MIDWAY DR
BAKER CITY, OR 97814-1456
Phone number: 541-523-8320
Mailing Address
-- ANDREW MICKA
3700 MIDWAY DR
BAKER CITY, OR 97814-1456
Phone number: 541-523-8320
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