Individual provider · Type 1 NPI

Paul Daniel Moreno Sr., SUDCC IV, BA, MA

Student in an Organized Health Care Education/Training Program · Corcoran, CA

NPI number 1295198992 Active

Practice location

900 Quebec Ave
Corcoran, CA 93212-9715

Call (559) 992-7100 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400X5933 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XA051500118 (CA)
Community Health Worker 172V00000XNone listed
Marriage & Family Therapist 106H00000X151516 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295198992

Paul Daniel Moreno Sr., SUDCC IV, BA, MA's National Provider Identifier is 1295198992, issued on Mar 30, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Corcoran, CA. The record was last updated on Jan 15, 2026.