Individual provider · Type 1 NPI

Thomas Jordan Moore Iv

Peer Specialist · Redwood City, CA

NPI number 1265264030 Active

Practice location

200 Edmonds Rd
Redwood City, CA 94062-3813

Call (669) 245-3248 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-FQMHKD (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1265264030

Thomas Jordan Moore Iv's National Provider Identifier is 1265264030, issued on Aug 19, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Redwood City, CA. The record was last updated on Jun 12, 2026.