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Jacobo Machuca Reyes, BA,RADT
Counselor in Los Angeles, California
NPI 1477068005

Jacobo Machuca Reyes is a Counselor based in Baldwin Park, CA. Jacobo Machuca Reyes practices in Los Angeles, CA and has the professional credentials of BA,RADT. The NPI Number for Jacobo Machuca Reyes is 1477068005 and holds a License No. R1282711117 (California).

The current practice location address for Jacobo Machuca Reyes is 5825 W Olympic Blvd, Los Angeles, CA and can be reached out via phone at 323-933-9022 and via fax at 323-933-4029.

Location: 5825 W Olympic Blvd, Los Angeles, CA, 91706-3503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477068005
Provider Name
Jacobo Machuca Reyes
Credential
BA,RADT
Provider Entity Type
Individual
Gender
Male
Address
5825 W Olympic Blvd, Los Angeles, CA, 91706-3503
Phone Number
323-933-9022
Fax Number
323-933-4029
Provider Enumeration Date
12/05/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5825 W Olympic Blvd
City
Los Angeles
State
California
Zip
90036-4612
Phone Number
323-933-9022
Fax Number
323-933-4029
person
Provider Business Mailing Address Details
Address
5825 W Olympic Blvd
City
Los Angeles
State
California
Zip
90036-4612
Phone Number
323-933-9022
Fax Number
323-933-4029
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
R1282711117 (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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