Individual provider · Type 1 NPI

Mario Israel Moreno

Addiction (Substance Use Disorder) Counselor · La Puente, CA

NPI number 1215064555 Active

Practice location

15229 Amar Rd
La Puente, CA 91744-2066

Call (626) 855-5090 Map

Fax (626) 961-1810

Mailing address

1350 S Candish Ave
Glendora, CA 91740-5800

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 1215064555

Mario Israel Moreno's National Provider Identifier is 1215064555, issued on Feb 27, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in La Puente, CA. The record was last updated on Jul 8, 2007.