Individual
ALMIRA MOGUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
341 IRWIN LN, SANTA ROSA, CA 95401-5603
(707) 360-1500
Mailing address
341 IRWIN LN, SANTA ROSA, CA 95401-5603
(707) 360-1500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
106365
CA
101YM0800X
Mental Health Counselor
Primary
106365
CA
104100000X
Social Worker
106365
CA
Other
Enumeration date
10/11/2022
Last updated
06/28/2023
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