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Individual

MR. ALFRED S MACIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1230 N MARENGO AVE, PASADENA, CA 91103-2217
(626) 797-1124
(626) 398-9674
Mailing address
4106 ELROVIA AVE, EL MONTE, CA 91732-2151
(323) 494-6225

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/06/2018
Last updated
09/06/2018
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