Individual provider · Type 1 NPI

Ingga Subur Mac, RADT

Addiction (Substance Use Disorder) Counselor · Trabuco Canyon, CA

NPI number 1508540923 Active

Practice location

20331 Flanagan Road
Trabuco Canyon, CA 92679

Call (818) 582-8832 Map

Fax (818) 582-8836

Mailing address

1225 W Myrtle St
Santa Ana, CA 92703-4510

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1497000223 (CA)

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

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About NPI 1508540923

Ingga Subur Mac, RADT's National Provider Identifier is 1508540923, issued on Jun 14, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Trabuco Canyon, CA. The record was last updated on Jun 14, 2023.