MR. Mario Israel Moreno
NPI #1215064555 in La Puente, California
Provider Information
- NPI Number
- 1215064555
- Entity Type
- Individual
- Name
- MR. Mario Israel Moreno
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Feb 27, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 15229 AMAR RD
- City
- La Puente
- State
- California
- ZIP Code
- 91744-2066
- Phone
- (626) 855-5090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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