Individual
ANGEL MOYEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 ORANGE ST, RIVERSIDE, CA 92501-3613
(760) 617-6680
Mailing address
4000 ORANGE ST, RIVERSIDE, CA 92501-3613
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
07/21/2021
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