ANTHONY ENRIQUE ANNICCHIARICO LPC, LPCC, LADAC
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1770990772- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC, LPCC, LADAC
- Status
- Active
Contact & Location
- Address
- 1644 CARNAHAN DR, GRANTS PASS, OR, 975274724
- Phone
- (541) 476-2373
Specialties & Taxonomies
Counselor, Professional
License: OR #C4907
Counselor, Mental Health
Primary
Counselor, Professional
License: CA #12333
Counselor, Professional
License: NM #CCMH0170971