Individual provider · Type 1 NPI

Carolyn Jo Moore

Counselor · Richmond, CA

NPI number 1700934163 Active

Practice location

2525 Maine Ave
Richmond, CA 94804-2827

Fax (510) 234-6613

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1700934163

Carolyn Jo Moore's National Provider Identifier is 1700934163, issued on Jan 8, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Richmond, CA. The record was last updated on Jul 8, 2007.