Individual provider · Type 1 NPI

Pamela Moreno, LPC

Mental Health Counselor · Phoenix, AZ

NPI number 1306540372 Active

Practice location

4131 N 24th St Ste B102
Phoenix, AZ 85016-6231

Fax (602) 903-7091

Mailing address

7500 N Dreamy Draw Dr Ste 145
Phoenix, AZ 85020-4668

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XLAC-13775 (AZ)
Mental Health Counselor Primary 101YM0800XLPC23300 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1306540372

Pamela Moreno, LPC's National Provider Identifier is 1306540372, issued on Mar 27, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on May 29, 2025.