ANTHONY ENRIQUE ANNICCHIARICO

GRANTS PASS, OR
NPI1770990772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-07-22
Last Update Date2019-05-23
Business Address
ANTHONY ENRIQUE ANNICCHIARICO LPC, LPCC, LADAC
1644 CARNAHAN DR
GRANTS PASS, OR 97527-4724
Phone number: 541-476-2373
Mailing Address
ANTHONY ENRIQUE ANNICCHIARICO LPC, LPCC, LADAC
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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