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Organization
REACH PROJECT
Active
Organization
REACH PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICKIE ANGELO MARCHETTI MA, RAS (EXECUTIVE DIRECTOR)
(925) 779-6908
Entity
Organization
Contact information
Practice address
3385 MAIN ST, SUITE B, OAKLEY, CA 94561-6017
(925) 679-2504
(925) 754-2002
Mailing address
3385 MAIN ST, SUITE B, OAKLEY, CA 94561-6017
(925) 679-2504
(925) 754-2002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
070753
CA
Other
Enumeration date
06/19/2012
Last updated
06/29/2012
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