Jesus Macias JR., CG60693090

NPI #1396295564 in Toppenish, Washington

Provider Information

NPI Number: 1396295564
Entity Type: Individual
Name: Jesus Macias JR., CG60693090
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: CG60693090
Enumeration Date: Oct 11, 2016
Last Updated: Dec 21, 2021

Practice Location

Address: 510 W 1ST AVE
City: Toppenish
State: Washington
ZIP Code: 98948-1564
Phone: (509) 865-3127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X
Counselor	101Y00000X	Primary

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