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John Soul Moreno
Marriage & Family Therapist in Oakland, California
NPI 1538656061

John Soul Moreno is a Marriage & Family Therapist based in San Pablo, CA. John Soul Moreno practices in Oakland, CA. The NPI Number for John Soul Moreno is 1538656061 and holds a License No. 128057 (California).

The current practice location address for John Soul Moreno is 2828 Ford St, Oakland, CA and can be reached out via phone at 510-504-2285.

Location: 2828 Ford St, Oakland, CA, 94806-2338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538656061
Provider Name
John Soul Moreno
Credential
Provider Entity Type
Individual
Gender
Male
Address
2828 Ford St, Oakland, CA, 94806-2338
Phone Number
510-504-2285
Fax Number
Provider Enumeration Date
04/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2828 Ford St
City
Oakland
State
California
Zip
94601-2114
Phone Number
510-504-2285
Fax Number
person
Provider Business Mailing Address Details
Address
2828 Ford St
City
Oakland
State
California
Zip
94601-2114
Phone Number
510-504-2285
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
()
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
128057 (California)
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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