Individual
MISS ANGELICA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2637 W BURREL AVE, VISALIA, CA 93291-4511
(559) 747-0115
Mailing address
PO BOX 5091, VISALIA, CA 93278-5091
(559) 757-0115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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