Individual
MR. JESUS H MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
344 FULTON AVE, HEMPSTEAD, NY 11550-3923
(516) 538-2613
(516) 538-0772
Mailing address
344 FULTON AVE, HEMPSTEAD, NY 11550-3923
(516) 538-2613
(516) 538-0772
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9684
NY
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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