Individual
PATRICIA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A2404012
AR
101YM0800X
Mental Health Counselor
A2404012
AR
101YP2500X
Professional Counselor
Primary
P2602015
AR
Other
Enumeration date
04/08/2024
Last updated
02/18/2026
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