person
Mayra Magdalena Moran
Addiction (Substance Use Disorder) Counselor in Gardena, California
NPI 1184394165

Mayra Magdalena Moran is an Addiction (Substance Use Disorder) Counselor based in Gardena, CA and is specialized in Addiction (Substance Use Disorder). Mayra Magdalena Moran practices in Gardena, CA. The NPI Number for Mayra Magdalena Moran is 1184394165 and holds a License No. (California).

The current practice location address for Mayra Magdalena Moran is 15519 Crenshaw Blvd, Gardena, CA and can be reached out via phone at 310-679-9031.

Location: 15519 Crenshaw Blvd, Gardena, CA, 90249-4525
person
Provider Profile Details
NPI Number
1184394165
Provider Name
Mayra Magdalena Moran
Credential
Provider Entity Type
Individual
Gender
Female
Address
15519 Crenshaw Blvd, Gardena, CA, 90249-4525
Phone Number
310-679-9031
Fax Number
Provider Enumeration Date
09/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15519 Crenshaw Blvd
City
State
Zip
90249-4525
Phone Number
310-679-9031
Fax Number
person
Provider Business Mailing Address Details
Address
15519 Crenshaw Blvd
City
State
Zip
90249-4525
Phone Number
310-679-9031
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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