Individual
JOSE J MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1801 S POPLAR ST, SANTA ANA, CA 92704-4321
(714) 433-3445
Mailing address
14840 LIGHT ST, WHITTIER, CA 90604-1936
(909) 670-5134
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
112421
CA
1041S0200X
School Social Worker
Primary
112421
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/10/2019
Last updated
06/05/2023
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