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Fabiola Saucedo Macias
Mental Health Counselor in Glendora, California
NPI 1720606247

Fabiola Saucedo Macias is a Mental Health Counselor based in Azusa, CA and is specialized in Mental Health. Fabiola Saucedo Macias practices in Glendora, CA. The NPI Number for Fabiola Saucedo Macias is 1720606247 and holds a License No. (California).

The current practice location address for Fabiola Saucedo Macias is 1160 S Grand Ave, Glendora, CA and can be reached out via phone at 424-306-4000.

Location: 1160 S Grand Ave, Glendora, CA, 91702-2622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720606247
Provider Name
Fabiola Saucedo Macias
Credential
Provider Entity Type
Individual
Gender
Female
Address
1160 S Grand Ave, Glendora, CA, 91702-2622
Phone Number
424-306-4000
Fax Number
Provider Enumeration Date
07/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1160 S Grand Ave
City
Glendora
State
California
Zip
91740-5000
Phone Number
424-306-4000
Fax Number
person
Provider Business Mailing Address Details
Address
1160 S Grand Ave
City
Glendora
State
California
Zip
91740-5000
Phone Number
424-306-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
ASW103773 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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