Individual
JASMINE MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 E PACIFIC COAST HWY STE 600, LONG BEACH, CA 90804-6914
(562) 346-1100
Mailing address
4510 E PACIFIC COAST HWY STE 600, LONG BEACH, CA 90804-6914
(562) 346-1100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
04/15/2020
Last updated
04/28/2026
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