Individual provider · Type 1 NPI

Jimi Moua

Mental Health Counselor · Stockton, CA

NPI number 1710136007 Active

Practice location

5361 N Pershing Ave
Stockton, CA 95207-5450

Call (209) 477-9177 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1710136007

Jimi Moua's National Provider Identifier is 1710136007, issued on Sep 11, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Sep 11, 2008.