Individual
GEENA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 MIDDLEBELT RD, ROMULUS, MI 48174-2039
(734) 595-3640
Mailing address
6700 MIDDLEBELT RD, ROMULUS, MI 48174-2039
(734) 595-3640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/15/2016
Last updated
03/17/2018
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