Individual
MR. AUGUST EUGUENE MOORE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
995 SPRUCE ST, GRIDLEY, CA 95948-2128
(530) 846-7305
Mailing address
995 SPRUCE ST, GRIDLEY, CA 95948-2128
(530) 846-7305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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