Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Theodore Alfred Moreno, CCHT

Individual provider Mental Health Counselor · NPI 1205649456

Theodore Alfred Moreno, CCHT is a Mental Health Counselor in South Pasadena, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

1910 Huntington Dr Unit 9
South Pasadena, CA 91030-4887
Phone: (626) 826-0612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1205649456
Entity typeIndividual (Type 1)
GenderMale
Credentials CCHT
Sole proprietorYes
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

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