Individual
MRS. CHRISTINA ANN MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDCCII 9479
Contact information
Practice address
1133 COLOMA WAY STE C, ROSEVILLE, CA 95661-4480
(916) 774-6647
(916) 774-6456
Mailing address
1133 COLOMA WAY STE C, ROSEVILLE, CA 95661-4480
(916) 774-6647
(916) 774-6456
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SUDCCII
CA
Other
Enumeration date
05/02/2016
Last updated
10/21/2024
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