Individual provider · Type 1 NPI

Kandice Moore, MS, PPS

Professional Counselor · Santa Clara, CA

NPI number 1609462316 Active

Practice location

5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140

Mailing address

9447 Friant St
Rancho Cucamonga, CA 91730-4025

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X15842 (CA)

Professional Counselor: Definition to come...

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About NPI 1609462316

Kandice Moore, MS, PPS's National Provider Identifier is 1609462316, issued on Dec 16, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Santa Clara, CA. The record was last updated on Nov 15, 2024.