Provider Demographics
NPI:1962688408
Name:RICHER, REUBEN MICHAEL
Entity Type:Individual
Prefix:
First Name:REUBEN
Middle Name:MICHAEL
Last Name:RICHER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11228 FAIR OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-5139
Mailing Address - Country:US
Mailing Address - Phone:916-962-2800
Mailing Address - Fax:916-962-2824
Practice Address - Street 1:11228 FAIR OAKS BLVD
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-5139
Practice Address - Country:US
Practice Address - Phone:916-962-2800
Practice Address - Fax:916-962-2824
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)