Individual
ABIGAIL MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 E MERCED ST, FOWLER, CA 93625-2316
(559) 892-9452
Mailing address
311 E MERCED ST, FOWLER, CA 93625-2316
(559) 892-9452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16071
CA
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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