Individual
STEPHANIE MONTES MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1963 4TH AVE, SAN DIEGO, CA 92101-2394
(619) 233-3432
Mailing address
1963 4TH AVE, SAN DIEGO, CA 92101-2394
(619) 233-3432
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/30/2022
Last updated
04/30/2022
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