Individual
ILIANA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 HARVEY WEST BLVD, SANTA CRUZ, CA 95060-2103
(831) 428-4047
Mailing address
300 HARVEY WEST BLVD, SANTA CRUZ, CA 95060-2103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
08/26/2025
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