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Corey Macedon
Counselor in San Jacinto, California
NPI 1053618702

Corey Macedon is a Counselor based in Riverside, CA. Corey Macedon practices in San Jacinto, CA. The NPI Number for Corey Macedon is 1053618702 and holds a License No. (California).

The current practice location address for Corey Macedon is 1604 S Santa Fe Ave, San Jacinto, CA and can be reached out via phone at 951-654-2026 and via fax at 951-654-9927.

Location: 1604 S Santa Fe Ave, San Jacinto, CA, 92504-2037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053618702
Provider Name
Corey Macedon
Credential
Provider Entity Type
Individual
Gender
Male
Address
1604 S Santa Fe Ave, San Jacinto, CA, 92504-2037
Phone Number
951-654-2026
Fax Number
951-654-9927
Provider Enumeration Date
02/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1604 S Santa Fe Ave
City
San Jacinto
State
California
Zip
92583-5060
Phone Number
951-654-2026
Fax Number
951-654-9927
person
Provider Business Mailing Address Details
Address
1604 S Santa Fe Ave
City
San Jacinto
State
California
Zip
92583-5060
Phone Number
951-654-2026
Fax Number
951-654-9927
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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