Individual provider · Type 1 NPI

Joel Sebastian Moody Sr.

Mental Health Counselor · Oakland, CA

NPI number 1578620829 Active

Practice location

4368 Lincoln Ave
Oakland, CA 94602

Mailing address

3681 35th Ave
Oakland, CA 94619-1401

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1578620829

Joel Sebastian Moody Sr.'s National Provider Identifier is 1578620829, issued on Jan 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oakland, CA. The record was last updated on Jul 8, 2007.