GUSTAVO MORA

VAN NUYS, CA
NPI1437492352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2013-03-28
Last Update Date2013-03-28
Business Address
GUSTAVO MORA
14540 HAMLIN ST STE I
VAN NUYS, CA 91411-4154
Phone number: 818-997-6876
Mailing Address
GUSTAVO MORA
7225 BAKMAN AVE APT 2
SUN VALLEY, CA 91352-4906
Phone number: 818-503-1909
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