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Individual
MICHELLE MORENO
Active
Individual
MICHELLE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW90288
CA
1041C0700X
Clinical Social Worker
Primary
136079
CA
1041C0700X
Clinical Social Worker
ACSW90288
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2018
Last updated
02/09/2026
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