Individual
MS. ANITA GRACE MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 N LOCUST ST, 220 N. LOCUST, VISALIA, CA 93291-4946
(559) 627-1385
(559) 636-2105
Mailing address
220 N LOCUST ST, 220 N. LOCUST, VISALIA, CA 93291-4946
(559) 627-1385
(559) 636-2105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C5837194
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5478
DRUG MEDICAL
CA
Enumeration date
08/27/2009
Last updated
08/27/2009
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