Individual
ANGELICA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5815 3RD ST, SAN FRANCISCO, CA 94124-3101
(415) 822-7500
Mailing address
25800 INDUSTRIAL BLVD APT L300, HAYWARD, CA 94545-2948
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2011
Last updated
02/15/2019
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