Individual provider · Type 1 NPI

Evelina Moreno

Addiction (Substance Use Disorder) Counselor · Scottsbluff, NE

NPI number 1407219090 Active

Practice location

1509 1st Ave
Scottsbluff, NE 69361-3106

Fax (308) 635-7880

Mailing address

1509 1st Avenue
Scottsbluff, NE 69361

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XP-1621 (NE)

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

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About NPI 1407219090

Evelina Moreno's National Provider Identifier is 1407219090, issued on Mar 31, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Scottsbluff, NE. The record was last updated on Sep 20, 2018.