Individual
ANGEL MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
335 E N ST, COLTON, CA 92324-3432
(951) 454-6844
Mailing address
431 MACKAY DR, SAN BERNARDINO, CA 92408-3222
(909) 433-9300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
104100000X
Social Worker
Primary
—
CA
1041S0200X
School Social Worker
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/02/2020
Last updated
08/06/2025
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