Individual
CAREY ANN MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
250 BON AIR RD UNIT B, GREENBRAE, CA 94904-1702
(415) 473-6830
Mailing address
250 BON AIR RD UNIT B, GREENBRAE, CA 94904-1702
(415) 473-6830
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC 178
CA
Other
Enumeration date
01/25/2013
Last updated
12/16/2015
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