Cory Howard Macy
Cory Howard Macy is an Addiction (Substance Use Disorder) Counselor in San Pedro, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
270 W 14th StSan Pedro, CA 90731-4396
Phone: (310) 519-8723
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence R1397840720 (CA) |
|---|
Record details
| NPI number | 1144838962 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 17, 2020 |
| Last updated in NPPES | July 17, 2020 |
| Certification date | July 17, 2020 |
| Mailing address | 270 W 14th St, San Pedro, CA 90731-4396 |
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270 W 14th St, San Pedro, CA 90731-4396 · (310) 519-8723