Individual
MS. ANGELICA MARIA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 S 1ST AVE, APT. 3, COVINA, CA 91723-3160
(626) 343-1039
Mailing address
505 S 1ST AVE, APT. 3, COVINA, CA 91723-3160
(626) 343-1039
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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