Individual
JESSICA ELIZABETH MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5078 BULLION ST, MARIPOSA, CA 95338-2416
(661) 204-5072
Mailing address
5078 BULLION ST, MARIPOSA, CA 95338-2416
(661) 204-5072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
05/16/2019
Last updated
03/10/2026
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