Raymond Mickens

NPI #1043445521 in Commerce, California

Provider Information

NPI Number: 1043445521
Entity Type: Individual
Name: Raymond Mickens
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 27, 2009
Last Updated: May 27, 2009

Practice Location

Address: 1011 GOODRICH BLVD
City: Commerce
State: California
ZIP Code: 90022-5102
Phone: (323) 888-9191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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