Individual provider · Type 1 NPI

Mayra Magdalena Moran

Addiction (Substance Use Disorder) Counselor · Gardena, CA

NPI number 1184394165 Active

Practice location

15519 Crenshaw Blvd
Gardena, CA 90249-4525

Call (310) 679-9031 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1184394165

Mayra Magdalena Moran's National Provider Identifier is 1184394165, issued on Sep 20, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gardena, CA. The record was last updated on Sep 20, 2021.