Individual
CASEY MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 MARIN ST, THOUSAND OAKS, CA 91360-4260
(805) 413-0350
Mailing address
501 MARIN ST STE 100, THOUSAND OAKS, CA 91360-4265
(805) 413-0350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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