Mara Moreno is a Peer Specialist based in Indio, CA. Mara Moreno practices in Indio, CA. The NPI Number for Mara Moreno is 1497360192 and holds a License No. (California).
The current practice location address for Mara Moreno is 47825 Oasis St, Indio, CA and can be reached out via phone at 760-863-8455.
Location: 47825 Oasis St, Indio, CA, 92201-6950
Provider Profile Details
NPI Number
1497360192
Provider Name
Mara Moreno
Credential
Provider Entity Type
Individual
Gender
Female
Address
47825 Oasis St, Indio, CA, 92201-6950
Phone Number
760-863-8455
Fax Number
Provider Enumeration Date
09/10/2020
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255966 | 01 | CA | PRIVATE INSURANCE |
Provider Business Practice Location Address Details
Address
47825 Oasis St
City
State
Zip
92201-6950
Phone Number
760-863-8455
Fax Number
Provider Business Mailing Address Details
Address
47825 Oasis St
City
State
Zip
92201-6950
Phone Number
760-863-8455
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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