Individual provider · Type 1 NPI

Kimberly Macias

Mental Health Counselor · Riverside, CA

NPI number 1104461003 Active

Practice location

2085 Rustin Ave
Riverside, CA 92507-2498

Other practice locations

  • 9645 Arrow Rte Ste A, Rancho Cucamonga, CA 91730-4554 · (909) 948-5747

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Clinical Social Worker 1041C0700XNone listed

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About NPI 1104461003

Kimberly Macias's National Provider Identifier is 1104461003, issued on Nov 14, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Riverside, CA. The record was last updated on Jun 16, 2020.