Corey Macedon
NPI #1053618702 in San Jacinto, California
Provider Information
- NPI Number
- 1053618702
- Entity Type
- Individual
- Name
- Corey Macedon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Feb 15, 2011
- Last Updated
- Feb 15, 2011
Practice Location
- Address
- 1604 S SANTA FE AVE
- Address 2
- SUITE 403
- City
- San Jacinto
- State
- California
- ZIP Code
- 92583-5060
- Phone
- (951) 654-2026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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