Provider Demographics
NPI:1134289887
Name:MINCH, ANN SIDNEY (MHRS)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:SIDNEY
Last Name:MINCH
Suffix:
Gender:F
Credentials:MHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 EUREKA WAY
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0223
Mailing Address - Country:US
Mailing Address - Phone:530-262-6700
Mailing Address - Fax:530-241-2278
Practice Address - Street 1:2750 EUREKA WAY
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0223
Practice Address - Country:US
Practice Address - Phone:530-262-6700
Practice Address - Fax:530-241-2278
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health