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Individual
MR. JAMES HENRY MACEDONE JR.
Active
Individual
MR. JAMES HENRY MACEDONE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11841891-6009
UT
171R00000X
Interpreter
77-0608544
UT
Other
Enumeration date
11/09/2013
Last updated
07/08/2020
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