Individual provider · Type 1 NPI

Kimberly A. Moore, ACSW

Mental Health Counselor · Covina, CA

NPI number 1083757876 Active

Practice location

1126 N Grand Ave, Suite D
Covina, CA 91724-1551

Fax (626) 967-6027

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XACSW24402 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1083757876

Kimberly A. Moore, ACSW's National Provider Identifier is 1083757876, issued on Feb 14, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Covina, CA. The record was last updated on Nov 12, 2008.