PAUL DANIEL MORENO SUDCC IV BA MA NPI 1295198992

NPI Information

  • NPI: 1295198992
  • Provider Name: PAUL DANIEL MORENO, SUDCC IV, BA, MA
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 900 QUEBEC AVE
    CORCORAN, CA
    ZIP 93212
  • Phone: (559) 992-7100

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NPI Details

Paul Daniel Moreno, SUDCC IV, BA, MA is a professional counselor in Corcoran, CA. Paul Daniel Moreno, SUDCC IV, BA, MA NPI is 1295198992. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

900 QUEBEC AVE
CORCORAN, CA
ZIP 93212-715
Phone: (559) 992-7100

The enumeration date for this NPI number is 3/30/2016 and was last updated on 7/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)A051500118CALIFORNIANo
2101YA0400XCounselorAddiction (Substance Use Disorder)5933CALIFORNIANo
3106H00000XMarriage & Family Therapist151516CALIFORNIANo
4172V00000XCommunity Health WorkerNo
5101YP2500XCounselorProfessional18430CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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