Individual
ANITA MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1850 SAN BENITO ST., HOLLISTER, CA 95023
(831) 636-2121
Mailing address
1850 SAN BENITO ST, HOLLISTER, CA 95023-4899
(831) 636-2121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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