Individual provider · Type 1 NPI

Kelly Moua

Mental Health Counselor · Stockton, CA

NPI number 1740648625 Active

Practice location

1414 N California St
Stockton, CA 95202-1515

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1740648625

Kelly Moua's National Provider Identifier is 1740648625, issued on Feb 5, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Feb 5, 2016.