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Mr. Rushawn Anthony Moulton
Mental Health Counselor in Colton, California
NPI 1124379466

Rushawn Anthony Moulton is a Mental Health Counselor based in Colton, CA and is specialized in Mental Health. Rushawn Anthony Moulton practices in Colton, CA. The NPI Number for Rushawn Anthony Moulton is 1124379466 and holds a License No. (California).

The current practice location address for Rushawn Anthony Moulton is 790 Via Lata, Colton, CA and can be reached out via phone at 909-433-0445.

Location: 790 Via Lata, Colton, CA, 92324-3978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124379466
Provider Name
Rushawn Anthony Moulton
Credential
Provider Entity Type
Individual
Gender
Male
Address
790 Via Lata, Colton, CA, 92324-3978
Phone Number
909-433-0445
Fax Number
Provider Enumeration Date
09/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
790 Via Lata
City
Colton
State
California
Zip
92324-3978
Phone Number
909-433-0445
Fax Number
person
Provider Business Mailing Address Details
Address
790 Via Lata
City
Colton
State
California
Zip
92324-3978
Phone Number
909-433-0445
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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