| NPI | 1477843902 |
|---|---|
| Professional Name | MARIO MACIAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA IMF73931) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2015-02-19 |