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Organization
LOUISE MOORE
Active
Organization
LOUISE MOORE
Active
Parent organization
LOUISE MOORE
Other names
louise moore
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUISE MOORE
Authorized official
LOUISE MOORE (MFT)
(707) 774-1225
Entity
Organization
Contact information
Practice address
7 4TH ST STE 13, PETALUMA, CA 94952-3072
(707) 774-1225
Mailing address
7 4TH ST STE 13, PETALUMA, CA 94952-3072
(707) 774-1225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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