Individual provider · Type 1 NPI
Amanda Moore
Mental Health Counselor · Santa Rosa, CA
NPI number
1194196139
Active
Practice location
634 Pressley St
Santa Rosa, CA 95404-5526
Mailing address
1103 Sunnyvale Ct
Santa Rosa, CA 95401-4445
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 1194196139
Amanda Moore's National Provider Identifier is 1194196139, issued on Oct 16, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Rosa, CA. The record was last updated on Oct 16, 2015.