Individual
JOSE MORA
Active
Individual
JOSE MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
35208
CA
167G00000X
Licensed Psychiatric Technician
Primary
35208
CA
Other
Enumeration date
12/22/2023
Last updated
08/01/2025
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