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1497328959
MATTHEW MACIAS
SANTA ANA, CA
NPI
1497328959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1433410621)
Enumeration Date
2021-07-22
Last Update Date
2021-07-22
Business Address
MATTHEW MACIAS RADT-I
1207 E FRUIT ST
SANTA ANA, CA 92701-4296
Phone number: 714-953-9373
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Mailing Address
MATTHEW MACIAS RADT-I
1960 DOMINGO RD
FULLERTON, CA 92835-3411
Phone number: 307-686-1135
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