Myrna Macias-Prado

NPI #1922357466 in Upland, California

Provider Information

NPI Number: 1922357466
Entity Type: Individual
Name: Myrna Macias-Prado
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 30, 2012
Last Updated: Aug 19, 2021

Practice Location

Address: 1425 W FOOTHILL BLVD STE 310
City: Upland
State: California
ZIP Code: 91786-8007
Phone: (909) 347-9272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker	104100000X
Student in an Organized Health Care Education/Training Program	390200000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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