Antonicic, Marisa R

Antonicic, Marisa R is an individual health care provider with primary practice located at 1616 West St , Redding CA 96001-1726. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Antonicic, Marisa R can be contacted via phone (530) 244-7074.

Contact Information

Primary practice address
1616 West St Redding CA 96001-1726
Phone: (530) 244-7074
Fax: (530) 244-7065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 9530 California

Profile Details

NPI number 1841817251
LBN Legal business name Antonicic, Marisa R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2020
Last updated Jul 1st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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