Individual
ANAROSA MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 W 110TH ST, LOS ANGELES, CA 90061-2016
(323) 270-9785
Mailing address
212 W 110TH ST, LOS ANGELES, CA 90061-2016
(323) 270-9785
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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