Reach Project

NPI 1144583667 - Counselor - 101YA0400X

NPI Details
NPI 1144583667
Enumeration Date 06/19/2012
Last Updated 06/29/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MICKIE ANGELO MICKIE
Position EXECUTIVE DIRECTOR
Phone (925) 679-2504
Fax (925) 754-2002
Practice Location
3385 MAIN ST
SUITE B
OAKLEY CA, 94561-6017, US
Phone (925) 679-2504
Fax (925) 754-2002
Business Location
3385 MAIN ST
SUITE B
OAKLEY CA, 94561-6017, US
Phone (925) 679-2504
Fax (925) 754-2002
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number 070753
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According to our database, Reach Project NPI is 1144583667, taxonomy code is 101YA0400X and license number is 070753, license state is located at California. Reach Project physically located at 3385 Main St, Oakley CA, 94561-6017. NPI Number 1033115704 has the healthcare provider type.

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1144583667 NPI number is provided on an as is basis without warranty of any kind. 1144583667 is maintained by the National Plan & Provider Enumeration System. The contents of Reach Project are for informational purposes only.