Individual provider · Type 1 NPI
Kavaree Leslie Moore
Peer Specialist · Oakley, CA
NPI number
1467337121
Active
Practice location
1020 Serpentine Ln Suite 102, 1670 Chianti Way
Oakley, CA 94561
Mailing address
1670 Chianti Way
Oakley, CA 94561-2232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
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.
About NPI 1467337121
Kavaree Leslie Moore's National Provider Identifier is 1467337121, issued on Aug 11, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oakley, CA. The record was last updated on Aug 11, 2025.