Individual
MR. MARCOS MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPCC LADC
Contact information
Practice address
2125 E HENNEPIN AVE STE 100, MINNEAPOLIS, MN 55413-1763
(651) 313-8080
Mailing address
2125 E HENNEPIN AVE STE 100, MINNEAPOLIS, MN 55413-1763
(651) 313-8080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC04298
MN
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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