Individual
ALFONSO MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4673 THORNTON AVE STE P, FREMONT, CA 94536-5663
(510) 792-4357
Mailing address
16840 EL BALCON AVE, SAN LEANDRO, CA 94578-2437
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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