Doctor Name: | YESENIA MORA |
NPI Number: | 1710132881 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 105 N Lincoln St Santa Maria, CA - 934584319 |
Business Phone Number: | 8059281707 |
Business Fax Number: | |
Mailing Address: | Po Box 218, AVILA BEACH |
State: | CA |
Postal Code: | 934240218 |
Phone Number: | 8057813535 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2008 |
NPI Last Update Date: | 02/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 01/18/2011 |
NPI Reactivation Date: | 02/10/2011 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |