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Individual

BRANDON NICOLE MACIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3000
Mailing address
401 BROADWAY, SUITE 2075, SEATTLE, WA 98104
(206) 503-7057

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CAAR.CG.61467574
WA
175T00000X
Peer Specialist
CPSS.PR.70103114
WA
175T00000X
Peer Specialist
Primary

Other

Enumeration date
07/28/2023
Last updated
03/05/2026
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