Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corey Macedon

Individual provider Counselor · NPI 1053618702

Corey Macedon is a Counselor in San Jacinto, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

1604 S Santa Fe Ave Ste 403
San Jacinto, CA 92583-5060
Phone: (951) 654-2026
Fax: (951) 654-9927
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (CA)

Record details

NPI number1053618702
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 15, 2011
Last updated in NPPESFebruary 15, 2011
Mailing address5870 Arlington Ave, Suite 103, Riverside, CA 92504-2037

Other providers in San Jacinto