Individual
GISELLE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 30TH ST STE A, SAN DIEGO, CA 92154-3417
(619) 565-2650
Mailing address
1886 TOULOUSE DR, CHULA VISTA, CA 91913-2998
(619) 600-7725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14778
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2022
Last updated
06/03/2024
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