Individual
CAROL MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 W 29TH ST, TUCSON, AZ 85713-3353
(520) 838-5600
(520) 792-0654
Mailing address
504 W 29TH ST, TUCSON, AZ 85713-3353
(520) 838-5600
(520) 792-0654
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LISAC-10469
AZ
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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