Individual provider · Type 1 NPI
Kimberly Diane Moore
Mental Health Counselor · Los Angeles, CA
NPI number
1669598215
Active
Practice location
6838 W Sunset Blvd
Los Angeles, CA 90028-7008
Mailing address
11300 Acacia Ave
Inglewood, CA 90304-2800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1669598215
Kimberly Diane Moore's National Provider Identifier is 1669598215, issued on Mar 22, 2007. 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 30, 2014.