Individual provider · Type 1 NPI

Gary Thomas Moore

Mental Health Counselor · Davis, CA

NPI number 1053533455 Active

Practice location

212 I St
Davis, CA 95616-4213

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1053533455

Gary Thomas Moore's National Provider Identifier is 1053533455, issued on May 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Davis, CA. The record was last updated on Oct 9, 2013.