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Elizabeth Macias Costales
Addiction (Substance Use Disorder) Counselor in El Centro, California
NPI 1164931010

Elizabeth Macias Costales is an Addiction (Substance Use Disorder) Counselor based in El Centro, CA and is specialized in Addiction (Substance Use Disorder). Elizabeth Macias Costales practices in El Centro, CA. The NPI Number for Elizabeth Macias Costales is 1164931010 and holds a License No. (California).

The current practice location address for Elizabeth Macias Costales is 200 S 5Th St, El Centro, CA and can be reached out via phone at 760-482-0864.

Location: 200 S 5Th St, El Centro, CA, 92243-3013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164931010
Provider Name
Elizabeth Macias Costales
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 S 5Th St, El Centro, CA, 92243-3013
Phone Number
760-482-0864
Fax Number
Provider Enumeration Date
09/22/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95-3069805 05 CA
institution
Provider Business Practice Location Address Details
Address
200 S 5Th St
City
El Centro
State
California
Zip
92243-3013
Phone Number
760-482-0864
Fax Number
person
Provider Business Mailing Address Details
Address
200 S 5Th St
City
El Centro
State
California
Zip
92243-3013
Phone Number
760-482-0864
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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