Individual
MISS JESSICA MARISOL MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
2260 E PALMDALE BLVD STE J, PALMDALE, CA 93550-4952
(661) 575-1800
(661) 793-6882
Mailing address
2260 E PALMDALE BLVD STE J, PALMDALE, CA 93550-4952
(661) 575-1800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
ACSW129989
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2007
Last updated
07/29/2025
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