Individual provider · Type 1 NPI

Jesse Diaz Moreno

Addiction (Substance Use Disorder) Counselor · Escondido, CA

NPI number 1629639554 Active

Practice location

737 E Grand Ave
Escondido, CA 92025-4404

Call (760) 745-8478 Map

Fax (760) 745-6852

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 1629639554

Jesse Diaz Moreno's National Provider Identifier is 1629639554, issued on Jun 21, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Escondido, CA. The record was last updated on Jun 25, 2023.