Individual provider · Type 1 NPI

Pao L. Moua

Mental Health Counselor · West Sacramento, CA

NPI number 1104126077 Active

Practice location

500 Jefferson Blvd, Bldg. B, Suite 150
West Sacramento, CA 95605-2350

Call (916) 376-8591 Map

Fax (916) 376-8595

Mailing address

12310 Montauk Way
Rancho Cordova, CA 95742-7724

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

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About NPI 1104126077

Pao L. Moua's National Provider Identifier is 1104126077, issued on Oct 26, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Sacramento, CA. The record was last updated on Oct 26, 2010.