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Charles Anthony Moreno
Mental Health Counselor in Chula Vista, California
NPI 1912473810

Charles Anthony Moreno is a Mental Health Counselor based in Irvine, CA and is specialized in Mental Health. Charles Anthony Moreno practices in Chula Vista, CA. The NPI Number for Charles Anthony Moreno is 1912473810 and holds a License No. 14428 (California).

The current practice location address for Charles Anthony Moreno is 264 Landis Ave Ste 200, Chula Vista, CA and can be reached out via phone at 855-223-7123.

Location: 264 Landis Ave Ste 200, Chula Vista, CA, 92606-2417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912473810
Provider Name
Charles Anthony Moreno
Credential
Provider Entity Type
Individual
Gender
Male
Address
264 Landis Ave Ste 200, Chula Vista, CA, 92606-2417
Phone Number
855-223-7123
Fax Number
Provider Enumeration Date
10/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
264 Landis Ave Ste 200
City
Chula Vista
State
California
Zip
91910-2651
Phone Number
855-223-7123
Fax Number
person
Provider Business Mailing Address Details
Address
264 Landis Ave Ste 200
City
Chula Vista
State
California
Zip
91910-2651
Phone Number
855-223-7123
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
14428 (California)
Definition
Definition to come...
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