Provider Demographics
NPI:1417264151
Name:MACARI, LILLIAN (LAADC, RAS, FAC)
Entity Type:Individual
Prefix:
First Name:LILLIAN
Middle Name:
Last Name:MACARI
Suffix:
Gender:F
Credentials:LAADC, RAS, FAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:895 NAPA AVE
Mailing Address - Street 2:SUITE # A6
Mailing Address - City:MORRO BAY
Mailing Address - State:CA
Mailing Address - Zip Code:93442-1944
Mailing Address - Country:US
Mailing Address - Phone:805-225-1471
Mailing Address - Fax:805-225-1472
Practice Address - Street 1:895 NAPA AVE
Practice Address - Street 2:SUITE # A6
Practice Address - City:MORRO BAY
Practice Address - State:CA
Practice Address - Zip Code:93442-1944
Practice Address - Country:US
Practice Address - Phone:805-225-1471
Practice Address - Fax:805-225-1472
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)