Individual provider · Type 1 NPI

Donald Robert Moore

Mental Health Counselor · San Rafael, CA

NPI number 1124182969 Active

Practice location

914 Mission Ave
San Rafael, CA 94901-6106

Mailing address

820 Lakeville Cir
Petaluma, CA 94954-5739

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124182969

Donald Robert Moore's National Provider Identifier is 1124182969, issued on Dec 19, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.