Individual
JENNIFER MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 N GLASSFORD HILL RD STE 108, PRESCOTT VALLEY, AZ 86314-2256
(844) 385-3747
Mailing address
700 MASSACHUSETTS AVE FL 3, CAMBRIDGE, MA 02139-3345
(888) 500-2067
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-22672
AZ
Other
Enumeration date
02/28/2025
Last updated
05/28/2025
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