Guadalupe Macias Mariscal, PEER SUPPORT SPECIAL
NPI #1245941624 in Indio, California
Provider Information
- NPI Number
- 1245941624
- Entity Type
- Individual
- Name
- Guadalupe Macias Mariscal, PEER SUPPORT SPECIAL
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Credential
- PEER SUPPORT SPECIAL
- Enumeration Date
- Dec 7, 2022
- Last Updated
- Oct 19, 2023
Practice Location
- Address
- 44199 MONROE ST
- City
- Indio
- State
- California
- ZIP Code
- 92201-3096
- Phone
- (760) 863-8424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Peer Specialist |
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