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Individual
MARICELA IBETH MORENO
Active
Individual
MARICELA IBETH MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
101YM0800X
Mental Health Counselor
ACSW102897
CA
1041C0700X
Clinical Social Worker
ASW102897
CA
1041C0700X
Clinical Social Worker
Primary
LCSW122270
CA
Other
Enumeration date
09/06/2019
Last updated
05/02/2024
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