Individual provider · Type 1 NPI

Leticia Mora Fausto

Addiction (Substance Use Disorder) Counselor · Ukiah, CA

NPI number 1861987679 Active

Practice location

410 Jones St Ste C1
Ukiah, CA 95482-5491

Call (707) 463-0405 Map

Mailing address

1120 S Dora St
Ukiah, CA 95482-6340

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1861987679

Leticia Mora Fausto's National Provider Identifier is 1861987679, issued on Jun 25, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ukiah, CA. The record was last updated on Mar 11, 2020.