Individual provider · Type 1 NPI

Larry James Moody

Counselor · San Jose, CA

NPI number 1962815415 Active

Practice location

1400 Parkmoor Ave
San Jose, CA 95126-3797

Call (408) 510-3480 Map

Fax (408) 510-3484

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 1962815415

Larry James Moody's National Provider Identifier is 1962815415, issued on Jun 3, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Jose, CA. The record was last updated on Jun 12, 2014.