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Paola Ruiz Mora
Addiction (Substance Use Disorder) Counselor in Santa Rosa, California
NPI 1396303228

Paola Ruiz Mora is an Addiction (Substance Use Disorder) Counselor based in Santa Rosa, CA and is specialized in Addiction (Substance Use Disorder). Paola Ruiz Mora practices in Santa Rosa, CA. The NPI Number for Paola Ruiz Mora is 1396303228 and holds a License No. R1349320519 (California).

The current practice location address for Paola Ruiz Mora is 98 Hendley St, Santa Rosa, CA and can be reached out via phone at 707-527-0412.

Location: 98 Hendley St, Santa Rosa, CA, 95404-5025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396303228
Provider Name
Paola Ruiz Mora
Credential
Provider Entity Type
Individual
Gender
Female
Address
98 Hendley St, Santa Rosa, CA, 95404-5025
Phone Number
707-527-0412
Fax Number
Provider Enumeration Date
06/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51-0178620 01 CA NON PROFIT
institution
Provider Business Practice Location Address Details
Address
98 Hendley St
City
Santa Rosa
State
California
Zip
95404-5025
Phone Number
707-527-0412
Fax Number
person
Provider Business Mailing Address Details
Address
98 Hendley St
City
Santa Rosa
State
California
Zip
95404-5025
Phone Number
707-527-0412
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1349320519 (California)
Definition
Definition to come...
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