Individual provider · Type 1 NPI

Corey Macedon

Counselor · San Jacinto, CA

NPI number 1053618702 Active

Practice location

1604 S Santa Fe Ave, Suite 403
San Jacinto, CA 92583-5060

Call (951) 654-2026 Map

Fax (951) 654-9927

Mailing address

5870 Arlington Ave, Suite 103
Riverside, CA 92504-2037

Specialties and licenses

Taxonomy	Code	License
Counselor Primary	101Y00000X	None listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1053618702

Corey Macedon's National Provider Identifier is 1053618702, issued on Feb 15, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Jacinto, CA. The record was last updated on Feb 15, 2011.