Moreno Montelongo, Irma Elizabeth

Moreno Montelongo, Irma Elizabeth is an sole proprietor health care provider with primary practice located at 10775 Pioneer Trl Ste 215 , Truckee CA 96161-0234. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moreno Montelongo, Irma Elizabeth can be contacted via phone (415) 424-4266.

Contact Information

Primary practice address
10775 Pioneer Trl Ste 215 Truckee CA 96161-0234
Phone: (415) 424-4266
Fax: (415) 520-6633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 31525 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 99612 California

Profile Details

NPI number 1760715296
LBN Legal business name Moreno Montelongo, Irma Elizabeth
Credentials PSYD, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2009
Last updated Oct 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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