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Individual
DIANA MOORE
Active
Individual
DIANA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LMFT LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2021012918
MO
101YP2500X
Professional Counselor
LPC 85
CA
106H00000X
Marriage & Family Therapist
Primary
MFC 50214
CA
Other
Enumeration date
08/09/2011
Last updated
04/23/2024
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