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
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