Ingga Subur Mac, RADT
Ingga Subur Mac, RADT is an Addiction (Substance Use Disorder) Counselor in Trabuco Canyon, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
20331 Flanagan RdTrabuco Canyon, CA 92679
Phone: (818) 582-8832
Fax: (818) 582-8836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence R1497000223 (CA) |
|---|
Record details
| NPI number | 1508540923 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RADT |
| Sole proprietor | No |
| NPI enumerated | June 14, 2023 |
| Last updated in NPPES | June 14, 2023 |
| Certification date | June 5, 2023 |
| Mailing address | 1225 W Myrtle St, Santa Ana, CA 92703-4510 |
Other providers in Trabuco Canyon
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MS. Ashley Lauren Hee Hoevelkamp, RADT
20302 Flanagan Rd, Trabuco Canyon, CA 92679 · (818) 582-8832
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Gina Marie Jamieson, RADT
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Nayely Lisette Lopez
20342 Flanagan Rd, Trabuco Canyon, CA 92805 · (818) 582-8832
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Hazel Lugartos
20331 Flanagan Rd, Trabuco Canyon, CA 92679 · (818) 582-8832
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Kathryn Jane Malloy, RADT
20331 Flanagan Rd, Trabuco Canyon, CA 92679 · (818) 582-8832
-
Alyssa Natalie Martin, RADT
20331 Flanagan Rd, Trabuco Canyon, CA 92679 · (818) 582-8832
-
Eduardo Martinez
20302 Flanagan Rd, Trabuco Canyon, CA 92679 · (818) 582-8832
-
Kelly Lynn McKibben, RADT
20331 Flanagan Rd, Trabuco Canyon, CA 92679 · (818) 582-8832