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Individual
MICKIE MARCHETTI
Active
Individual
MICKIE MARCHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070753
MASTER PROVIDER NUMBER
CA
01
—
0726
DRUG M/CAL BILLING NUM
CA
01
—
0753
DRUG M/CAL BILLING NUM
CA
01
—
07531
ADULT TX ANTIOCH
CA
01
—
07533
ADOL TX ANTIOCH
CA
01
—
07534
DMC ADULT ANTIOCH
CA
01
—
07536
DMC ADOL ANTIOCH
CA
01
—
07551
ADULT TX BRENTWOOOD
CA
01
—
07552
DMC ADULT BRENTWOOD
CA
01
—
07553
ADOL TX BRENTWOOD
CA
01
—
07555
DRUG COURT
CA
01
—
07556
BYRON RANCH
CA
01
—
07557
DMC ADOL BRENTWOOD
CA
01
—
56112
STAFF BILLING NUMBER
CA
Enumeration date
02/05/2008
Last updated
02/05/2008
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