Jesse Diaz Moreno
Counselor, Addiction (Substance Use Disorder) in Escondido, CA. Individual provider (NPI-1).
NPI number1629639554
StatusActive
Last updated in NPPESJun 25, 2023
Details
- NPI
- 1629639554
- Entity type
- Individual (NPI-1)
- Name
- Jesse Diaz Moreno
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2019
- Certification date
- Jun 25, 2023
- Last updated
- Jun 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
737 E Grand AveEscondido, CA 92025-4404
Phone 760-745-8478 · Fax 760-745-6852
Mailing address
737 E Grand AveEscondido, CA 92025-4404
Phone 760-745-8478 · Fax 760-745-6852
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All 272 Addiction (Substance Use Disorder) Counselor providers in Escondido · All 4,391 providers in Escondido
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