Individual
ELIZABETH JADE MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14558 SYLVAN ST, VAN NUYS, CA 91411-2324
(818) 787-4151
Mailing address
4060 LYND AVE, ARCADIA, CA 91006-5703
(626) 574-1677
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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