Individual
ADAM M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3020 CHILDRENS WAY # MC5100, SAN DIEGO, CA 92123-4223
(858) 576-1700
(619) 795-1228
Mailing address
1503 BOBWHITE LN, EL CAJON, CA 92020-1406
(619) 432-5042
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
115578
CA
Other
Enumeration date
07/18/2016
Last updated
01/29/2020
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