Individual provider · Type 1 NPI

Amanda Jane Moore, LPCC

Mental Health Counselor · La Mesa, CA

NPI number 1619623964 Active

Practice location

4700 Spring St Ste 203
La Mesa, CA 91942-0273

Call (619) 549-0329 Map

Mailing address

PO Box 2763
Spring Valley, CA 91979-2763

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X11201 (CA)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1619623964

Amanda Jane Moore, LPCC's National Provider Identifier is 1619623964, issued on Feb 24, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Mesa, CA. The record was last updated on Feb 24, 2022.