Individual
BIANCA MOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2202 N 1ST ST, SAN JOSE, CA 95131-2007
(408) 292-9353
Mailing address
510 S 6TH ST APT A, SAN JOSE, CA 95112-5660
(760) 504-2309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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