Carol Moreno
Counselor, Mental Health in Tucson, AZ. Individual provider (NPI-1).
NPI number1295020006
StatusActive
Last updated in NPPESJun 9, 2011
Details
- NPI
- 1295020006
- Entity type
- Individual (NPI-1)
- Name
- Carol Moreno
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2011
- Last updated
- Jun 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LISAC-10469 | AZ | Yes |
Practice location
504 W 29th StTucson, AZ 85713-3353
Phone 520-838-5600 · Fax 520-792-0654
Mailing address
504 W 29th StTucson, AZ 85713-3353
Phone 520-838-5600 · Fax 520-792-0654
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