Individual provider · Type 1 NPI

Juaquina Mackie

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1427225804 Active

Practice location

8904 S Vermont Ave
Los Angeles, CA 90044-4834

Call (323) 753-5950 Map

Fax (323) 753-6020

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1427225804

Juaquina Mackie's National Provider Identifier is 1427225804, issued on May 14, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on May 14, 2008.