Individual provider · Type 1 NPI

Justyn Cruz Moreno

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1720517345 Active

Practice location

1735 Enterprise Dr Ste 105A
Fairfield, CA 94533-6822

Call (707) 425-1799 Map

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 1720517345

Justyn Cruz Moreno's National Provider Identifier is 1720517345, issued on Jun 7, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on Jun 7, 2017.