Most Relevant Information
Provider Data
| NPI Number: | 1003366394 |
| Provider Name: | GARRETT MACEDO |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/11/2016 |
| Last Updated: | 01/12/2022 |
Provider Practice Location
232 E GISH RD
SAN JOSE
CA
951124706
Practice Location Phone/Fax
| Phone: | 8058448246 |
| Fax: |
Provider Mailing Location
232 E GISH RD APT 17
SAN JOSE
CA
951124706
Provider Mailing Phone/Fax
| Phone: | 8058448246 |
| Fax: |