GUSTAVO MACIAS RODRIGUEZ

SANTA CRUZ, CA
NPI1457849184
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2018-04-27
Last Update Date2018-04-27
Business Address
GUSTAVO MACIAS RODRIGUEZ
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
Mailing Address
GUSTAVO MACIAS RODRIGUEZ
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
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