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Organization
SUSAN MOORE MARRIAGE AND FAMILY THERAPY INC
Active
Organization
SUSAN MOORE MARRIAGE AND FAMILY THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MOORE LMFT (PRESIDENT)
(707) 812-1550
Entity
Organization
Contact information
Practice address
401 BOYD ST, VACAVILLE, CA 95688-4521
(707) 266-6066
Mailing address
2137 MISTY OAKS CT, FAIRFIELD, CA 94534-7973
(707) 266-6066
(707) 266-9980
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
10/07/2025
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