MATTHEW MACIAS

SANTA ANA, CA
NPI1497328959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1433410621)
Enumeration Date2021-07-22
Last Update Date2021-07-22
Business Address
MATTHEW MACIAS RADT-I
1207 E FRUIT ST
SANTA ANA, CA 92701-4296
Phone number: 714-953-9373
Mailing Address
MATTHEW MACIAS RADT-I
1960 DOMINGO RD
FULLERTON, CA 92835-3411
Phone number: 307-686-1135
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