Individual provider · Type 1 NPI

Tara Moore

Mental Health Counselor · Los Angeles, CA

NPI number 1649795246 Active

Practice location

1968 East 103rd Street
Los Angeles, CA 90002

Call (323) 242-5000 Map

Other practice locations

  • 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 · (626) 395-7100

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Mental Health Counselor Primary 101YM0800X76544 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1649795246

Tara Moore's National Provider Identifier is 1649795246, issued on Aug 4, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 21, 2022.