Individual provider · Type 1 NPI
Eric Daniel Macias Diaz
Addiction (Substance Use Disorder) Counselor · Modesto, CA
NPI number
1780242933
Active
Practice location
1235 Mchenry Ave # Ab
Modesto, CA 95350-5370
Fax (209) 527-4599
Mailing address
1235 Mchenry Ave
Modesto, CA 95350-5370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Behavior Technician | 106S00000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1780242933
Eric Daniel Macias Diaz's National Provider Identifier is 1780242933, issued on Jun 3, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Sep 23, 2021.