person
Janice Trina Macias, 174715II
Addiction (Substance Use Disorder) Counselor in San Bernardino, California
NPI 1568972974

Janice Trina Macias is an Addiction (Substance Use Disorder) Counselor based in Upland, CA and is specialized in Addiction (Substance Use Disorder). Janice Trina Macias practices in San Bernardino, CA and has the professional credentials of 174715II. The NPI Number for Janice Trina Macias is 1568972974 and holds a License No. CICA01460619 (California).

The current practice location address for Janice Trina Macias is 939 N D St, San Bernardino, CA and can be reached out via phone at 909-889-6519.

Location: 939 N D St, San Bernardino, CA, 91786-4982
person
Provider Profile Details
NPI Number
1568972974
Provider Name
Janice Trina Macias
Credential
174715II
Provider Entity Type
Individual
Gender
Female
Address
939 N D St, San Bernardino, CA, 91786-4982
Phone Number
909-889-6519
Fax Number
Provider Enumeration Date
10/11/2017
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
939 N D St
City
State
Zip
92410-3519
Phone Number
909-889-6519
Fax Number
person
Provider Business Mailing Address Details
Address
939 N D St
City
State
Zip
92410-3519
Phone Number
909-889-6519
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CICA01460619 (California)
Definition
Definition to come...
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