Organization
FALL CREEK COUNCELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA L MOORE PH.D. (CLINICAL DIRECTOR)
(916) 344-0900
Entity
Organization
Contact information
Practice address
775 SUNRISE AVE, 110, ROSEVILLE, CA 95661-4523
(916) 595-7233
Mailing address
775 SUNRISE AVE, 110, ROSEVILLE, CA 95661-4523
(916) 595-7233
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY20662
CA
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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