Individual provider · Type 1 NPI

Michael Moore

School Counselor · Redlands, CA

NPI number 1336992114 Active

Practice location

20 W Lugonia Ave
Redlands, CA 92374-2234

Mailing address

1340 Delmonica Ave
San Bernardino, CA 92404-1542

Specialties and licenses

TaxonomyCodeLicense
School Counselor Primary 101YS0200X190259475 (CA)

School Counselor: Definition to come...

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About NPI 1336992114

Michael Moore's National Provider Identifier is 1336992114, issued on Apr 10, 2024. The primary taxonomy on file is School Counselor (101YS0200X), and the practice location is in Redlands, CA. The record was last updated on Apr 10, 2024.