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1568972974
JANICE TRINA MACIAS
SAN BERNARDINO, CA
NPI
1568972974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CiCA01460619)
Enumeration Date
2017-10-11
Last Update Date
2024-05-15
Business Address
JANICE TRINA MACIAS 174715 II
939 N D ST
SAN BERNARDINO, CA 92410-3519
Phone number: 909-889-6519
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Mailing Address
JANICE TRINA MACIAS 174715 II
1260 E ARROW HWY
UPLAND, CA 91786-4982
Phone number: 909-932-1069
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