Individual
LAURA KRISTIE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCI
Contact information
Practice address
5264 BOBBIE CT N, KEIZER, OR 97303-7502
(503) 851-1520
Mailing address
5264 BOBBIE CT N, KEIZER, OR 97303-7502
(503) 851-1520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
190702
OR
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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