Individual provider · Type 1 NPI

Edith Y. Moreno

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1487953337 Active

Practice location

614 Tully Rd
San Jose, CA 95111-1048

Call (408) 977-1591 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA7414537 (CA)

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

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About NPI 1487953337

Edith Y. Moreno's National Provider Identifier is 1487953337, issued on Mar 17, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Mar 17, 2011.