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Miss Jessica Marisol Moreno, INTERNLCSW
Student in an Organized Health Care Education/Training Program in San Fernando, California
NPI 1386862910

Jessica Marisol Moreno is a Student in an Organized Health Care Education/Training Program based in San Fernando, CA. Jessica Marisol Moreno practices in San Fernando, CA and has the professional credentials of INTERNLCSW. The NPI Number for Jessica Marisol Moreno is 1386862910 and holds a License No. (California).

The current practice location address for Jessica Marisol Moreno is 566 S Brand Blvd, San Fernando, CA and can be reached out via phone at 818-898-0223 and via fax at 818-361-5384.

Location: 566 S Brand Blvd, San Fernando, CA, 91340-4002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386862910
Provider Name
Jessica Marisol Moreno
Credential
INTERNLCSW
Provider Entity Type
Individual
Gender
Female
Address
566 S Brand Blvd, San Fernando, CA, 91340-4002
Phone Number
818-898-0223
Fax Number
818-361-5384
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
566 S Brand Blvd
City
San Fernando
State
California
Zip
91340-4002
Phone Number
818-898-0223
Fax Number
818-361-5384
person
Provider Business Mailing Address Details
Address
566 S Brand Blvd
City
San Fernando
State
California
Zip
91340-4002
Phone Number
818-898-0223
Fax Number
818-361-5384
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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