Doctor Name: | ROBERT ROCHA MORA |
NPI Number: | 1003953894 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | B.A. |
License Number: | |
Business Practice Address: | 3103 E Cartwright Ave Fresno, CA - 937259385 |
Business Phone Number: | 5594987100 |
Business Fax Number: | 5594987111 |
Mailing Address: | 3103 E Cartwright Ave, FRESNO |
State: | CA |
Postal Code: | 937259385 |
Phone Number: | 5594987100 |
Fax Number: | 5594987111 |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |