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Niruvick Macias Campos

Counselor, Addiction (Substance Use Disorder) in Modesto, CA. Individual provider (NPI-1).

NPI number1295489755
StatusActive
Last updated in NPPESMar 1, 2022

Details

NPI
1295489755
Entity type
Individual (NPI-1)
Name
Miss Niruvick Macias Campos
Sex
Female
Sole proprietor
No
Enumeration date
Feb 3, 2022
Certification date
Mar 1, 2022
Last updated
Mar 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)–CAYes

Practice location

1235 McHenry Ave Ste A&B
Modesto, CA 95350-5370

Phone 209-596-8783

Mailing address

1235 McHenry Ave Ste A&B
Modesto, CA 95350-5370

Phone 209-596-8783

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