MICAH BASS

VICTORVILLE, CA
NPI1962825505
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2014-02-03
Last Update Date2014-02-03
Business Address
MICAH BASS EXECUTIVE DIRECTOR
16200 BEAR VALLEY RD STE 110
VICTORVILLE, CA 92395-8708
Phone number: 760-241-1777
Mailing Address
MICAH BASS EXECUTIVE DIRECTOR
16200 BEAR VALLEY RD STE 110
VICTORVILLE, CA 92395-8708
Phone number: 760-241-1777