Individual
LIBRADO MORALES GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1682 NOVATO BLVD, NOVATO, CA 94947-7000
(628) 587-2682
Mailing address
1682 NOVATO BLVD, NOVATO, CA 94947-7000
(415) 485-6736
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1251760517
CA
175T00000X
Peer Specialist
Primary
MPSS-OIGXJN
CA
Other
Enumeration date
07/05/2017
Last updated
09/16/2024
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