MARISA R ANTONICIC

REDDING, CA
NPI1841817251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  9530)
Enumeration Date2020-07-01
Last Update Date2020-07-01
Business Address
MARISA R ANTONICIC
1616 WEST ST
REDDING, CA 96001-1726
Phone number: 530-244-7074
Mailing Address
MARISA R ANTONICIC
1237 CALIFORNIA ST
REDDING, CA 96001-0618
Phone number: 530-244-7074
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