Individual
MS. KARIN NICOLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75 DECLARATION DR, SUITE 3, CHICO, CA 95973-4914
(530) 892-9772
Mailing address
75 DECLARATION DR., SUITE 3, CHICO, CA 95973
(530) 892-9772
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCS21158
STATE LICENSE
CA
Enumeration date
05/10/2007
Last updated
07/08/2007
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