Individual
PAMELA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4131 N 24TH ST STE B102, PHOENIX, AZ 85016-6231
(480) 882-4545
(602) 903-7091
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC-13775
AZ
101YM0800X
Mental Health Counselor
Primary
LPC23300
AZ
Other
Enumeration date
03/27/2023
Last updated
05/29/2025
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