| Doctor Name: | EMILY MORENORODRIGUEZ |
| NPI Number: | 1023498193 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | R1199410415 |
| Business Practice Address: | 474 S Citrus Ave Azusa, CA - 917024733 |
| Business Phone Number: | 6268589500 |
| Business Fax Number: | 6268589595 |
| Mailing Address: | 474 S Citrus Ave, AZUSA |
| State: | CA |
| Postal Code: | 917024733 |
| Phone Number: | 6268589500 |
| Fax Number: | 6268589595 |
| NPI Enumeration Date: | 06/04/2015 |
| NPI Last Update Date: | 06/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | R1199410415 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |