Individual
ANDREA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
428 DELA VINA AVE APT 212, MONTEREY, CA 93940-3933
(831) 455-5244
Mailing address
PO BOX 444, MONTEREY, CA 93942-0444
(831) 455-5244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
23032
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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