Leticia Mora Fausto
NPI #1861987679 in Ukiah, California
Provider Information
- NPI Number
- 1861987679
- Entity Type
- Individual
- Name
- Leticia Mora Fausto
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jun 25, 2018
- Last Updated
- Mar 11, 2020
Practice Location
- Address
- 410 JONES ST STE C1
- City
- Ukiah
- State
- California
- ZIP Code
- 95482-5491
- Phone
- (707) 463-0405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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