Individual provider · Type 1 NPI

Jaimie Moulton

Mental Health Counselor · Weaverville, CA

NPI number 1962879668 Active

Practice location

1450 Main St.
Weaverville, CA 96093-1640

Call (530) 623-1362 Map

Fax (530) 623-1447

Mailing address

PO Box 1640, 1450 Main St.
Weaverville, CA 96093-1640

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962879668

Jaimie Moulton's National Provider Identifier is 1962879668, issued on Aug 28, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Weaverville, CA. The record was last updated on Aug 28, 2015.