Individual provider · Type 1 NPI
Theresa Denise Moore, ED.D., LCPC
Mental Health Counselor · Port Hueneme, CA
NPI number
1376983387
Active
Practice location
567 W Channel Islands Blvd # 203
Port Hueneme, CA 93041-2133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 178.007134 (IL) |
| Mental Health Counselor Primary | 101YM0800X | LPC20270 (AZ) |
| Mental Health Counselor | 101YM0800X | PC6401019591 (MI) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Port Hueneme
About NPI 1376983387
Theresa Denise Moore, ED.D., LCPC's National Provider Identifier is 1376983387, issued on Jul 5, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Hueneme, CA. The record was last updated on Apr 27, 2026.