Individual
SHUGIN MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC 2-G
Contact information
Practice address
2058 JEROME AVE, BRONX, NY 10453-1817
(917) 564-8731
Mailing address
2058 JEROME AVE, BRONX, NY 10453-1817
(917) 564-8731
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
39778
NY
Other
Enumeration date
06/26/2023
Last updated
03/10/2026
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