Individual
MARCIAL ANTONIO PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC-I
Contact information
Practice address
920 BELLEVUE ST SE, WASHINGTON, DC 20032-6030
(202) 562-4939
(202) 562-5602
Mailing address
920 BELLEVUE ST SE, WASHINGTON, DC 20032-6030
(202) 562-4939
(202) 562-5602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CACI1027
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CACI1027
—
DC
Enumeration date
03/20/2020
Last updated
03/20/2020
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