Individual
ANDREA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
500 CROWN POINT CIR, GRASS VALLEY, CA 95945-9561
(530) 265-1437
Mailing address
500 CROWN POINT CIR, GRASS VALLEY, CA 95945-9561
(530) 265-1437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW90192
CA
104100000X
Social Worker
Primary
ASW90192
CA
Other
Enumeration date
10/01/2021
Last updated
03/08/2022
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