Individual
MS. HEIDI LOURDEZ MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3745 OVERLAND AVE, LOS ANGELES, CA 90034-6311
(310) 392-5855
Mailing address
3745 OVERLAND AVE, LOS ANGELES, CA 90034-6311
(310) 392-5855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
12/19/2011
Last updated
07/15/2025
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