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Individual
JACOBO MACHUCA REYES
Active
Individual
JACOBO MACHUCA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CADCIII
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
R1282711117
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
B00003761224
CA
Other
Enumeration date
12/05/2017
Last updated
02/05/2025
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