DERICK MACIAS CANCHOLA

WALNUT CREEK, CA
NPI1013556430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2020-01-02
Last Update Date2024-09-10
Business Address
DERICK MACIAS CANCHOLA
877 YGNACIO VALLEY RD
WALNUT CREEK, CA 94596-3878
Phone number: 519-610-1371
Mailing Address
DERICK MACIAS CANCHOLA
2834 BROOK WAY
SAN PABLO, CA 94806-3212
Phone number: 510-610-1371
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