Individual
ANDREA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCACI, CAODC-A-CS
Contact information
Practice address
309 ALEUT ST, BIGGS, CA 95917
(907) 521-6806
Mailing address
PO BOX 1011, BIGGS, CA 95917-1011
(907) 521-6806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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