Individual
JOHN MOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26624 SAFFRON CIR, MORENO VALLEY, CA 92555-3834
(619) 253-2999
Mailing address
26624 SAFFRON CIR, MORENO VALLEY, CA 92555-3834
(951) 485-0873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
405300000X
Prevention Professional
Primary
1588238539
CA
Other
Enumeration date
05/14/2021
Last updated
04/30/2024
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