Individual provider · Type 1 NPI

Isboset Moreno

Mental Health Counselor · San Diego, CA

NPI number 1891240511 Active

Practice location

1260 Morena Blvd Ste 100
San Diego, CA 92110-3850

Mailing address

1260 Morena Blvd, Suite 100
San Diego, CA 92110-3889

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1891240511

Isboset Moreno's National Provider Identifier is 1891240511, issued on Aug 23, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Aug 24, 2016.