Individual provider · Type 1 NPI

Andrea M. Maciula

Addiction (Substance Use Disorder) Counselor · Stillwater, OK

NPI number 1811143704 Active

Practice location

217 W 5th Ave, Suite 7
Stillwater, OK 74074-4056

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 1811143704

Andrea M. Maciula's National Provider Identifier is 1811143704, issued on Aug 12, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stillwater, OK. The record was last updated on Aug 12, 2008.