Individual
DANIELA MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 W WILLOUGHBY AVE, LAS CRUCES, NM 88005-1837
(575) 805-3344
Mailing address
145 W WILLOUGHBY AVE, LAS CRUCES, NM 88005-1837
(575) 805-3344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2025-0126
NM
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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