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Justyn Cruz Moreno
Addiction (Substance Use Disorder) Counselor in Fairfield, California
NPI 1720517345

Justyn Cruz Moreno is an Addiction (Substance Use Disorder) Counselor based in Fairfield, CA and is specialized in Addiction (Substance Use Disorder). Justyn Cruz Moreno practices in Fairfield, CA. The NPI Number for Justyn Cruz Moreno is 1720517345 and holds a License No. (California).

The current practice location address for Justyn Cruz Moreno is 1735 Enterprise Dr Ste 105A, Fairfield, CA and can be reached out via phone at 707-425-1799.

Location: 1735 Enterprise Dr Ste 105A, Fairfield, CA, 94533-6822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720517345
Provider Name
Justyn Cruz Moreno
Credential
Provider Entity Type
Individual
Gender
Male
Address
1735 Enterprise Dr Ste 105A, Fairfield, CA, 94533-6822
Phone Number
707-425-1799
Fax Number
Provider Enumeration Date
06/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1735 Enterprise Dr Ste 105A
City
Fairfield
State
California
Zip
94533-6822
Phone Number
707-425-1799
Fax Number
person
Provider Business Mailing Address Details
Address
1735 Enterprise Dr Ste 105A
City
Fairfield
State
California
Zip
94533-6822
Phone Number
707-425-1799
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.
()
Definition
Definition to come...
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