Individual
AUDREY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8928 S FIGUEROA ST, LOS ANGELES, CA 90003-3228
(323) 420-8266
Mailing address
8928 S FIGUEROA ST, LOS ANGELES, CA 90003-3228
(323) 420-8266
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
04/19/2025
Last updated
04/19/2025
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