NELLY MORENO - NPI 1255099511 - Counselor in Bakersfield, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

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About Nelly Moreno NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NELLY MORENO (NPI 1255099511) is an individual addiction (substance use disorder) provider in Bakersfield, California, licensed in California (SUDRC12772) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1255099511

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameNELLY MORENO

Location Address1018 21ST STBakersfield, CA 93301-4709

Mailing Address1018 21st StBakersfield, CA 93301-4709 · (661) 861-9967

Phone(661) 861-9967

Sole ProprietorNo

Enumeration DateDecember 3, 2021

Last NPPES UpdateJanuary 14, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2022

✔ NPI 1255099511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · SUDRC12772

1018 21ST ST, Bakersfield, CA 93301

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATIONWIDE MEDICAL GROUP, INC

Clinic/Center (Community Health)